MEDICARE: JASMINE T. TROUTEN M.D.

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
1	207R00000X	Internal Medicine Physician	35063673	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	55035705701	OTHER	WV	WV COMPENSATION
4	18995A	OTHER		HEALTH PLAN OF UPPER OH V
5	5503570579A51	OTHER		ANTHEM BCBS
6	001718161	OTHER		MOUNTAIN STATE BCBS
7	0595950	OTHER		UMWA
8	23382908500	OTHER	OH	OHIO BWC

General Provider Information

NPI Number	:	1992798441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE T. TROUTEN M.D.

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-8054
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 KENNY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-3502
Country	:	US
Telephone Number	:	614-293-8054
Fax Number	:	614-293-4890

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	12/15/2020

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Directions to “ JASMINE T. TROUTEN M.D.” Practice Location

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