Healthcare Provider Details

I. General information

NPI: 1083800361
Provider Name (Legal Business Name): MICHAEL ANDREW JONESCO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 N HAMILTON RD STE 600
GAHANNA OH
43230-1757
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3600
  • Fax: 614-293-2910
Mailing address:
  • Phone: 614-293-3600
  • Fax: 614-293-2910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number34.009681
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number34.009681
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34.009681
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: