Individual provider Active NPI

Jennifer Valentic, D.O.

  • Pediatrics Physician
  • Medina, OH
National Provider Identifier
1194119578
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34.012570 Issued in OH
Practice address
3443 Medina Rd Ste 1153443
Medina, OH 44256
Phone
(330) 764-3457
Fax
(330) 764-3464
NPI assigned
Mar 24, 2015
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34.012570 OH Primary

Addresses

Primary practice location

3443 Medina Rd Ste 1153443
Medina, OH 44256

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 764-3457

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4411

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jvalentic37023@direct.chmca.org
Direct Messaging Address jvalentic37023@direct.chmca.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926002239 OH Practitioner - Pediatric Medicine 1254633787 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center of Akron Current Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Aug 8, 2018 Accepting new patients
Children's Hospital Medical Center of Akron Pediatrics CurrentSince Aug 8, 2018 Accepting new patients
Akron Children's Hospital Current Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

2140 13th St SW
Akron, OH 44314

3443 Medina Rd
Ste 115
Medina, OH 44256
Phone (330) 764-3457

3778 Medina Rd
Medina, OH 44256
Phone (330) 543-0870

Interoperability endpoints

  • Direct secure messaging: jvalentic37023@direct.chmca.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1194119578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-764-3457",
            "fax_number": "330-764-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 MEDINA RD STE 1153443",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-764-3457",
            "fax_number": "330-764-3464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-4411",
            "fax_number": "614-722-6132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTIC",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.012570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvalentic37023@direct.chmca.org",
            "affiliation": "N",
            "address_1": "3443 Medina Rd Ste 1153443",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvalentic37023@direct.chmca.org",
            "affiliation": "N",
            "address_1": "3443 Medina Rd Ste 1153443",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.