Jennifer Jefferis Mastruserio
MD | Pediatric Adolescent Medicine | Female
Jennifer Jefferis Mastruserio, MD is a Columbus, Ohio based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Jennifer Jefferis Mastruserio is
1830 Bethel Rd, Suite C, Columbus, Ohio - 43220-1809. She can be contacted on phone at
614-326-1600 and fax number 614-326-3600.
Jennifer Jefferis Mastruserio is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Jefferis Mastruserio is
1497715544 which was assigned by NPPES on 24 Mar, 2006 and it was last updated on 08 Jul, 2007.
Jennifer Jefferis Mastruserio license number is
35070134 for Pediatrics Adolescent Medicine (2080A0000X) in Ohio.
Jennifer Jefferis Mastruserio specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Jennifer Jefferis Mastruserio basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Jennifer Jefferis Mastruserio |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jennifer Jefferis Mastruserio 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 : | 1830 Bethel Rd, Suite C
Columbus, OH, 43220-1809
United States |
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| Phone Number : | 614-326-1600 |
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| Fax Number : | 614-326-3600 |
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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 : | 1497715544 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Mar, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Jennifer Jefferis Mastruserio are as mentioned. Primary taxonomy code for Jennifer Jefferis Mastruserio, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 35070134 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Jefferis Mastruserio such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 000000121076 | Other | OH | ANTHEM |
| 1201235 | Other | OH | UNITED HEALTHCARE |
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 : | 1830 Bethel Rd, Suite C
Columbus, OH, 43220-1809
United States |
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| Phone Number : | 614-326-1600 |
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| Fax Number : | 614-326-3600 |
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Business Location:
Patients can refer following map for directions to
Jennifer Jefferis Mastruserio practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.