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NPI Code Detail

MEDICARE: DR. JANELL D. ISON D.O.

MEDICARE: DR. JANELL D. ISON 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
12084P0800XPsychiatry Physician34-011556OH
2208D00000XGeneral Practice Physician34-011556OH

General Provider Information

NPI Number : 1508204728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANELL D. ISON D.O.
Provider Business Mailing Address
First Line : 1735 27TH ST STE B06
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-2681
Country : US
Telephone Number : 740-356-8681
Fax Number : 740-356-1256
Provider Business Practice Location Address
First Line : 1248 KINNEYS LN
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-2994
Country : US
Telephone Number : 740-356-7290
Fax Number : 740-356-7938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2013
Last Update Date : 11/05/2025

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