Provider Demographics
NPI:1144054131
Name:RANSOM, JONATHAN G
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:G
Last Name:RANSOM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6117 GEORGES PARK DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9043
Mailing Address - Country:US
Mailing Address - Phone:614-906-3200
Mailing Address - Fax:
Practice Address - Street 1:6117 GEORGES PARK DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9043
Practice Address - Country:US
Practice Address - Phone:614-906-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant