Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melinda Kristine Jack, MD

Individual provider Surgery Physician · NPI 1760543177

Melinda Kristine Jack, MD is a General Surgery in Columbus, Ohio. Graduated from University of Cincinnati College of Medicine in 2004, 22 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5965 E Broad St Ste 120
Columbus, OH 43213-1562
Phone: (614) 864-1000
Fax: (614) 864-1444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 35-088654 (OH)
Surgery Physician Taxonomy 208600000X · Licence 35088654 (OH)

Record details

NPI number1760543177
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJanuary 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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