Active NPI
Jennifer Mary Coliadis, M.D.
- Pediatrics Physician
- Garfield HTS, OH
National Provider Identifier
1023252988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-099634
- Practice address
- 13201 Granger Rd Ste 2
Garfield HTS, OH 44125-1979 - Phone
- (216) 475-8844
- Fax
- (216) 475-3816
- NPI assigned
- Apr 22, 2009
- Last updated
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Pediatrics Physician | 208000000X | 35-099634 | OH | Primary |
Addresses
Primary practice location
13201 Granger Rd Ste 2
Garfield HTS, OH 44125-1979
Mailing address
20800 Harvard Rd
2ND FLR
Highland Hills, OH 44122-7251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-099634 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jcoliadis36023@ehrdirect.uhhospitals.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1023252988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20800 HARVARD RD",
"address_2": "2ND FLR",
"city": "HIGHLAND HILLS",
"state": "OH",
"postal_code": "441227251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13201 GRANGER RD STE 2",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441251979",
"telephone_number": "216-475-8844",
"fax_number": "216-475-3816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLIADIS",
"first_name": "JENNIFER",
"middle_name": "MARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-22",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-099634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.