Individual provider Active NPI

Jessica Danielle Clemons, M.D.

  • Obstetrics & Gynecology Physician
  • Barberton, OH
National Provider Identifier
1306232194
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.134226 Issued in OH
Practice address
201 5TH St NE Ste 6
Barberton, OH 44203-3017
Phone
(330) 745-4976
NPI assigned
Apr 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.134226 OH Primary

Addresses

Primary practice location

201 5TH St NE Ste 6
Barberton, OH 44203-3017

Mailing address

525 E Market St
Summa Health System/Obstetrics & Gynecology Residency
Akron, OH 44304-1619
Phone (330) 375-7459

Other identifiers 1

IdentifierTypeStateIssuer
0153283MedicaidOH

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
I20191030002758 OH Practitioner - Obstetrics/Gynecology 5890091946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

161 N Forge St
Akron, OH 44304-1483

195 Wadsworth Rd
Wadsworth, OH 44281-9504
Phone (330) 374-1255

201 5TH St NE
Barberton, OH 44203-3017

3780 Medina Rd
Medina, OH 44256-9312

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.134226OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Obstetrics & Gynecology Current Accepting new patients
Summa Physicians LLC CurrentSince Sep 9, 2019 Accepting new patients
Summa Physicians LLC CurrentSince Sep 9, 2019 Accepting new patients
Summa Physicians LLC Past Accepting new patients
Summa Health System Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

75 Arch St
Ste B1
Akron, OH 44304
Phone (330) 375-4844

201 5th St NE
Ste 6
Barberton, OH 44203
Phone (330) 745-3080

3780 Medina Rd
Ste 200
Medina, OH 44256
Phone (330) 376-7000

195 Wadsworth Rd
Ste 301
Wadsworth, OH 44281
Phone (330) 331-1810

Interoperability endpoints

  • Direct secure messaging: jclemons22663@summahealth-direct.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1306232194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "address_2": "SUMMA HEALTH SYSTEM/OBSTETRICS & GYNECOLOGY RESIDENCY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE STE 6",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-745-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.134226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153283",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.