Provider Demographics
NPI:1407961576
Name:NASH, JASON WILLIAM (DO)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:WILLIAM
Last Name:NASH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 COUNTRY LINE RD, WEST
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7294
Mailing Address - Country:US
Mailing Address - Phone:614-847-4100
Mailing Address - Fax:614-430-1601
Practice Address - Street 1:235 W. SCHROCK RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2874
Practice Address - Country:US
Practice Address - Phone:614-895-0400
Practice Address - Fax:614-895-2911
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41463207ZP0105X
OH34007728207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2752534Medicaid