Individual ProviderJay CallawayStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Ohio University, Athens, OH 45701-2942(216) 280-7785PECOS EnrollmentBased on the most recent information from CMS, provider Jay Callaway does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1114491495Provider TypeIndividualFull NameCallaway, JayGenderMaleSole ProprietorNoEnumeration Date1/19/2019Last Updated1/19/2019Contact InformationPractice LocationPractice Address1 Ohio University, Athens, OH 45701-2942Phone(216) 280-7785FaxUnlisted FaxMailing LocationMailing Address30 Severance Cir Apt 710, Cleveland Heights, OH 44118-5505Phone(216) 280-7785FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer