NPIMap

Individual provider Active NPI

Cecile Jentner, M.D.

  • Family Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1043536113
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35121123 Issued in OH
Practice address
50 N Miller Rd
Fairlawn, OH 44333-3702
Phone
(330) 836-9721
Fax
(330) 836-9627
NPI assigned
Apr 14, 2010
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35121123 OH Primary

Addresses

Primary practice location

50 N Miller Rd
Fairlawn, OH 44333-3702

Mailing address

50 N Miller Rd
Fairlawn, OH 44333-3702
Phone (330) 836-9721

Other identifiers 4

IdentifierTypeStateIssuer
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
255161OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
0084116MedicaidOH
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000823 OH Practitioner - Family Practice 3870736507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

3300 Greenwich Rd
Unit 8
Norton, OH 44203-5781
Phone (330) 825-7371

3515 Massillon Rd
Suite 300
Uniontown, OH 44685-7854

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35121123OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Pioneer Physicians Network, Inc. Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Partners Physician Group PastSince Jul 1, 2015 Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients

Locations

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • Direct secure messaging: cecile.jentner@ppn.eclinicaldirectplus.com
  • Direct secure messaging: cjentner417015@direct.ccf.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA

Organizations & group practices 8

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1043536113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-9721",
            "fax_number": "330-836-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-9721",
            "fax_number": "330-836-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENTNER",
        "first_name": "CECILE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35121123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "255161",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084116",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.