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Jaz Cicero Santana Boyce

Physician β€’ Columbus, OH

Active NPI 1083067896 Individual Practitioner Male Practitioner
Practice location in NPPES

3118 Houston Dr
Columbus, OH 432073398

Call 6144076352 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3118 Houston Dr

Columbus, OH 432073398

Telephone 6144076352
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Columbus, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-06
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Residential Treatment Facility, Physical Disabilities

NUCC Taxonomy Code: 320700000X

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Community Based Residential Treatment Facility, Mental Illness

NUCC Taxonomy Code: 320800000X

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Residential Treatment Facility, Emotionally Disturbed Children

NUCC Taxonomy Code: 322D00000X

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

2167 Mock Rd

Columbus, OH 432191284

Phone: 6144076352

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 06, 2023

Registered at 3118 HOUSTON DR, COLUMBUS, OH 432073398 (Tel: 6144076352)

πŸ“
Updated Business Mailing Address June 06, 2023

Registered at 3118 HOUSTON DR, COLUMBUS, OH 432073398 (Tel: 6144076352)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2023

Residential Treatment Facility, Physical Disabilities

βœ…
NPI Profile Active July 16, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 16, 2016

Registered at 592 WILTSHIRE RD, COLUMBUS, OH 432042429 (Tel: 6144076352)

πŸ“
Business Mailing Address (Initial Record) July 16, 2016

Registered at 592 WILTSHIRE RD, COLUMBUS, OH 432042429 (Tel: 6144076352)

πŸ‘€
Provider Name / Credentials (Initial Record) July 16, 2016

Recorded as JAZ BOYCE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2016

Community Based Residential Treatment Facility, Mental Illness

🟒
Initial NPI Registration & Enumeration July 16, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083067896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2016
Last Update: June 06, 2023
Sole Proprietor: Yes

Mailing Address

3118 Houston Dr

Columbus, OH 432073398

Phone: 6144076352

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.