Healthcare Provider Details

I. General information

NPI: 1841652187
Provider Name (Legal Business Name): JAMIE LEONARD QUE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6397 EMERALD PKWY STE 150
DUBLIN OH
43016-2201
US

IV. Provider business mailing address

PO BOX 712505
CINCINNATI OH
45271-2505
US

V. Phone/Fax

Practice location:
  • Phone: 614-734-1100
  • Fax: 614-734-1900
Mailing address:
  • Phone: 614-326-2672
  • Fax: 614-326-2687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.136877
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: