Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154827061 Individual Practitioner Female Practitioner

Dr. Gracia De Jong , MD

Pediatrics • Powell, OH

Professional Overview & Biography Verified Profile Summary

Dr. Gracia De Jong, MD is a registered healthcare professional specializing in Pediatrics in Powell, OH. Practice services are available at 55 CLAIREDAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Clairedan Dr

Powell, OH 430658064

Telephone 6148888989
Fax 6148888968
Associated Practice Facility / Clinic
🏢 Powell Pediatric Care Facility NPI 1801961057

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Powell, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Powell, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35.141481

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0435440 (OH)
Commercial Insurance / Payer ID Cgs Medicare
H771400 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1063673234

Doctor of Medicine (M.D.)

NPI 1164816161
NPI 1205099686

Doctor of Medicine (M.D.)

NPI 1235134172

Doctor of Medicine (M.D.)

NPI 1346245404

Doctor of Medicine (M.D.)

NPI 1487659314

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location January 11, 2023

Registered at 55 CLAIREDAN DR, POWELL, OH 430658064 (Tel: 6148888989)

📍
Updated Business Mailing Address January 11, 2023

Registered at 55 CLAIREDAN DR, POWELL, OH 430658064 (Tel: 6148888989)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2023

Pediatrics (License #35.141481 in OH)

📍
Updated Practice Location March 15, 2022

Registered at 433 N CLEVELAND AVE, WESTERVILLE, OH 430828095 (Tel: 6143558300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Pediatrics (License #35.141481 in OH)

📍
Updated Practice Location August 03, 2021

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147222000)

📍
Updated Business Mailing Address August 03, 2021

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147222000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2021

Pediatrics (License #35.141481 in OH)

👤
Provider Name / Credentials Updated March 09, 2021

Recorded as GRACIA DE JONG, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2021

Pediatrics (License #35.141481 in OH)

📍
Updated Practice Location June 18, 2018

Registered at 4201 SAINT ANTOINE ST, 9C-UHC, DETROIT, MI 48201 (Tel: 3137455146)

👤
Provider Name / Credentials Updated June 18, 2018

Recorded as GRACIA DE JONG

NPI Profile Active April 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2018

Registered at 4201 SAINT ANTOINE ST, 9C-UHC, DETROIT, MI 482012153 (Tel: 3137455146)

📍
Updated Business Mailing Address April 01, 2018

Registered at 4201 SAINT ANTOINE ST, 9C-UHC, DETROIT, MI 482012153

👤
Provider Name / Credentials Updated April 01, 2018

Recorded as GRACIA NG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154827061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2018
Last Update: January 11, 2023
Sole Proprietor: Yes

Mailing Address

55 Clairedan Dr

Powell, OH 430658064

Phone: 6148888989

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.