DR. JAY E SIDLOSKI (NPI# 1912950502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912950502 |
| Entity Type | Individual |
| Full Name | DR. JAY E SIDLOSKI |
| Credential | DO |
| Practice Address |
41201 Schadden Rd Suite 2 Elyria OH 44035-2220 |
| Mailing Address |
9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905 |
| Practice Telephone | 4403240401 |
| Practice Fax Number | 4403240405 |
| Mailing Telephone | 2397853200 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
007091 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | SUMMACARE | E07091 | 01 |
| OH | QUAL CHOICE | 1000081 | 01 |
| OH | ANTHEM | 000000331597 | 01 |
| OH | KAISER | 05125 | 01 |
| OH | CARE SOURCE | 341832420027 | 01 |
| OH | RAILROAD MEDICARE | P00129474 | 01 |
| OH | 2469001 | 05 | |
| OH | AETNA | 7993540 | 01 |
| Street Address |
41201 SCHADDEN RD SUITE 2 |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992797989 | Martin L. Ribovich | Radiology | 41201 Schadden Rd, Elyria, OH 44035-2220 | 2005-08-17 |
| 1144573957 | Sadaf Khan | Colon & Rectal Surgery | 41201 Schadden Rd, Elyria, OH 44035-2220 | 2012-10-17 |
| 1780837880 | Mita Patel | Surgery | 41201 Schadden Rd, Elyria, OH 44035-2249 | 2008-11-03 |
| 1790953354 | Joni Ann Robinson | Pharmacist | 41201 Schadden Rd, Elyria, OH 44035-2220 | 2008-02-18 |
| 1447203054 | Patrick P Litam | Internal Medicine | 41201 Schadden Rd, Suite 2, Elyria, OH 44035-2220 | 2006-05-18 |
| 1912959016 | Hematology Oncology Center Inc | Internal Medicine | 41201 Schadden Rd, Suite 2, Elyria, OH 44035-2220 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982656005 | Belagodu N Kantharaj | Internal Medicine | 41201 Schadden Road, Suite 2, Elyria, OH 44035-2220 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235609017 | American Oncology Partners, P.a. | Internal Medicine | 495 Cooper Rd Ste 415, Westerville, OH 43081-8723 | 2018-12-05 |
| 1902149826 | David Benjamin | Internal Medicine | 263 S Cassady Ave, Columbus, OH 43209-1721 | 2013-03-28 |
| 1033273040 | Erin Renee Macrae | Internal Medicine | 810 Jasonway Ave Ste A, Columbus, OH 43214-4359 | 2006-12-21 |
| 1225053119 | Highland District Hospital | Internal Medicine | 1275 North High Street, Hillsboro, OH 45133 | 2006-07-13 |
| 1801852728 | Margie Aileen Gerena-lewis | Internal Medicine | 8240 Infirmary Rd, Ravenna, OH 44266-8048 | 2006-04-21 |
| 1871568444 | Joanne M. Jeter | Internal Medicine | 2001 Polaris Pkwy, Columbus, OH 43240-2000 | 2006-02-17 |
| 1922092287 | Duane A Sigmund | Internal Medicine | 4725 E Galbraith Rd, # 320, Cincinnati, OH 45236-2796 | 2005-09-01 |
| 1699768499 | David R Drosick | Internal Medicine | 601 Ivy Gtwy Ste 1100, Cincinnati, OH 45245-1898 | 2005-08-26 |
| 1336132562 | Oncology Hematology Care, Inc. | Internal Medicine | 781 W Locust St, Wilmington, OH 45177-2116 | 2005-08-23 |
| 1790778041 | Oncology Hematology Care, Inc. | Internal Medicine | 71 E Hollister St, Cincinnati, OH 45219 | 2005-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.