Gracia De Jong
MD | Pediatrics | Female
Gracia De Jong, MD is a Powell, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Gracia De Jong is
55 Clairedan Dr, Powell, Ohio - 43065-8064. She can be contacted on phone at
614-888-8989 and fax number 614-888-8968.
Gracia De Jong is a sole proprietor of her business.
NPI number (Unique professional ID) for Gracia De Jong is
1154827061 which was assigned by NPPES on 01 Apr, 2018 and it was last updated on 11 Jan, 2023.
Gracia De Jong license number is
35.141481 for Pediatrics (208000000X) in Ohio.
Gracia De Jong is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Gracia De Jong basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Gracia De Jong |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Gracia De Jong address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Clairedan Dr
Powell, OH, 43065-8064
United States |
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| Phone Number : | 614-888-8989 |
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| Fax Number : | 614-888-8968 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154827061 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Apr, 2018 |
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| Last Updated On : | 11 Jan, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gracia De Jong are as mentioned. Primary taxonomy code for Gracia De Jong, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35.141481 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Gracia De Jong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0435440 | MEDICAID | OH | |
| H771400 | Other (non-Medicare) | OH | CGS Medicare |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 55 Clairedan Dr
Powell, OH, 43065-8064
United States |
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| Phone Number : | 614-888-8989 |
|---|
| Fax Number : | 614-888-8968 |
|---|
Business Location:
Patients can refer following map for directions to
Gracia De Jong practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.