Basic Information
| Provider Information | |||||||||
| NPI: | 1376589036 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | POWERS | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3555 OLENTANGY RIVER RD | ||||||||
| Address2: | SUITE 1010 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432143912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145664907 | ||||||||
| FaxNumber: | 6142673323 | ||||||||
| Practice Location | |||||||||
| Address1: | 340 E TOWN ST | ||||||||
| Address2: | SUITE 8-700 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432154600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145669397 | ||||||||
| FaxNumber: | 6145668015 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2006 | ||||||||
| LastUpdateDate: | 06/10/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 35028289P | OH | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 0100581 | 05 | OH | MEDICAID | 000000117799 | 01 | ANTHEM | OTHER | 840000048 | 01 | RAILROAD MEDICARE | OTHER | 1962268001 | 01 | CIGNA | OTHER |