Provider Demographics
NPI:1376589036
Name:POWERS, JAMES J (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:POWERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3555 OLENTANGY RIVER RD
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3912
Mailing Address - Country:US
Mailing Address - Phone:614-566-4907
Mailing Address - Fax:614-267-3323
Practice Address - Street 1:340 E TOWN ST
Practice Address - Street 2:SUITE 8-700
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4600
Practice Address - Country:US
Practice Address - Phone:614-566-9397
Practice Address - Fax:614-566-8015
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35028289P208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0100581Medicaid
000000117799OtherANTHEM
840000048OtherRAILROAD MEDICARE
1962268001OtherCIGNA
OH0139098Medicare PIN
840000048OtherRAILROAD MEDICARE
OH0139097Medicare PIN
OH0139093Medicare PIN
000000117799OtherANTHEM
OH4040704Medicare PIN
OH4040705Medicare PIN
OH4040709Medicare PIN