Healthcare Provider Details

I. General information

NPI: 1770927618
Provider Name (Legal Business Name): BARRETT JASON KUMAR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BHARATH KUMAR

II. Dates (important events)

Enumeration Date: 04/22/2013
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 W 10TH AVE
COLUMBUS OH
43210-1328
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-8487
  • Fax: 614-293-8153
Mailing address:
  • Phone: 614-293-8487
  • Fax: 614-293-8153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number34.012069
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34.012069
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: