Jennifer Lee Seegichetla, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.005597RX Issued in OH

Practice address

11100 Euclid Ave # Seidman7
Cleveland, OH 44106-1716

Phone

(440) 844-4951

NPI assigned

Sep 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lee Dumont Or Truhlar Former name

Medicare fee-for-service enrollment

Enrolled in OH, IL, MI3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1548692890
  Medicare reassignment Care Compare group NPD
• Hometown Urgent Care of Michigan, P.C.

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385

  MI

  Medicare reassignment NPD
• University Hospitals Cleveland Medical Center

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1043747454
  Medicare reassignment NPD
• Health Express Urgent Care Centers,LLC

  • Urgent Care Clinic/Center
  • Parma, OH
  • NPI 1770993453
  Medicare reassignment
• Incare Health Solutions LLC

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1235422403
  Medicare reassignment
• Incare Health Solutions, LLC

  • Primary Care Nurse Practitioner
  • Ontario, OH
  • NPI 1639621824
  NPD
• University Hospitals Cleveland Medical Center

  • Community/Retail Pharmacy
  • Cleveland, OH
  • NPI 1952488108
  NPD
• Hometown Urgent Care of Michigan, P.C.

  • Clinical Medical Laboratory
  • Kalamazoo, MI
  • NPI 1891469631
  NPD
• Hometown Urgent Care of Michigan, PC

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1881358489
  NPD
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1659952554
  NPD

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1205319753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE # SEIDMAN7",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "440-844-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE # SEIDMAN7",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "440-844-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEGICHETLA",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.005597RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DUMONT OR TRUHLAR",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John R Sedor, MD
• Craig William See, M.D.
• Dequanna See
• Siew Ju See
• Christine Lynn Seedhouse, LSW
• Eileen L Seeholzer, MD
• Marty Seeholzer
• Elizabeth Ray Seeley, RD, LDN
• Jyothirmai Seepana
• Karla Seese, LSW

• Medical Physician Assistant in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.