Healthcare Provider Details

I. General information

NPI: 1285649756
Provider Name (Legal Business Name): JEFFREY SCOTT NINE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2090 FRANK RD
COLUMBUS OH
43223-3735
US

IV. Provider business mailing address

2090 FRANK RD
COLUMBUS OH
43223-3735
US

V. Phone/Fax

Practice location:
  • Phone: 614-525-5290
  • Fax: 614-525-6002
Mailing address:
  • Phone: 614-740-0991
  • Fax: 614-525-6002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number35.072232
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number35.072232
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberM-2299
License Number StateGU
# 4
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberM-2299
License Number StateGU

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: