Jyoti S Deoras, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35047875-D Issued in OH

Practice address

180 High Street
Wadsworth, OH 44281

Phone

(330) 334-1603

Fax

(330) 334-4163

NPI assigned

Aug 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184635740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HIGH STREET",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-334-1603",
            "fax_number": "330-334-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HIGH STREET",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-334-1603",
            "fax_number": "330-334-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEORAS",
        "first_name": "JYOTI",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35047875-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0534818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Dawson, DOO
• Lindsay M Dean, DDS
• Megan Lynn Dean, ATC
• Lynn Marie Decker
• Elizabeth Deluca, PT, OCS
• Mika Derifield
• Anna B Desrosiers, MBA
• Nickolas M Desrosiers
• Discount Drug Mart Inc (Discount Drug Mart)
• Laura M. Distel, M.D.

• Pediatrics Physician in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.