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NPI Code Detail

MEDICARE: JASON MATTHEW YAX D.O.

MEDICARE: JASON MATTHEW YAX D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOS 10714FL
2207R00000XInternal Medicine Physician34.010931OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447291745
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON MATTHEW YAX D.O.
Provider Business Mailing Address
First Line : 2048 QUARRY CREST DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-4971
Country : US
Telephone Number : 614-753-9809
Fax Number :
Provider Business Practice Location Address
First Line : 3525 OLENTANGY RIVER RD
Second Line : SUITE 4330
City : COLUMBUS
State : OH
Zip : 43214-3937
Country : US
Telephone Number : 614-255-6900
Fax Number : 614-255-6901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 04/10/2025

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Directions to “ JASON MATTHEW YAX D.O.” Practice Location

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