Search › Ohio › 101YA0400X
Jackson Wagener
NPI 1881509610 · on the registry since 2026 · sole proprietor
Practice
- Address
- 813 Bryden Rd
Columbus, OH 43205 - Phone
- (614) 808-3198
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio