Active NPI
Sharon J Jelkovac, PA-C
- Physician Assistant
- Beachwood, OH
National Provider Identifier
1275619629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50-002420
- Practice address
- 4110 Warrensville Center Rd
Beachwood, OH 44122-7024 - Phone
- (216) 491-6000
- NPI assigned
- Oct 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50-002420 | OH | Primary |
Addresses
Primary practice location
4110 Warrensville Center Rd
Beachwood, OH 44122-7024
Mailing address
PO Box 74647
Cleveland, OH 44194-0730
Phone (440) 879-0081
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-002420 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275619629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74647",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441940730",
"telephone_number": "440-879-0081",
"fax_number": "440-879-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 WARRENSVILLE CENTER RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441227024",
"telephone_number": "216-491-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JELKOVAC",
"first_name": "SHARON",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50-002420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- 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.