Provider Demographics
NPI:1982647632
Name:SAYAT, JASON G (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:G
Last Name:SAYAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 W. LANE AVE
Mailing Address - Street 2:STE D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3544
Mailing Address - Country:US
Mailing Address - Phone:614-457-4832
Mailing Address - Fax:614-326-0250
Practice Address - Street 1:1315 W. LANE AVE
Practice Address - Street 2:STE D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3544
Practice Address - Country:US
Practice Address - Phone:614-457-4832
Practice Address - Fax:614-326-0250
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077231207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2346250Medicaid
OH4107943OtherMEDICARE PTAN
OHSA4107942Medicare ID - Type Unspecified
OHSA4107941Medicare ID - Type Unspecified
OH2346250Medicaid