Mary T Jeewek-Taylor, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.07251 Issued in OH

Practice address

25200 Chagrin Blvd Ste 300
Beachwood, OH 44122-5684

Phone

(216) 383-2834

Fax

(216) 383-2923

NPI assigned

Oct 7, 2005

Last updated

May 4, 2023By 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

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Miodrag Zivic LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1437557782
  Medicare reassignment NPD
• Post Acute Solutions, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Kettering, OH
  • NPI 1013290683
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1306834940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 CHAGRIN BLVD STE 300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225684",
            "telephone_number": "216-383-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 CHAGRIN BLVD STE 300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225684",
            "telephone_number": "216-383-2834",
            "fax_number": "216-383-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEEWEK-TAYLOR",
        "first_name": "MARY",
        "middle_name": "T",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.07251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2529811",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Jasper
• Jay H. Berk, PH.D., Inc.
• Jay H. Berk, PH.D., Inc.
• Jay H. Goldstein DDS Inc.
• Jed M. Koops, DMD, LLC
• Jennifer A Jeffers, LISW
• Kaeli Jeffers
• Michelle Ann Jefferson, PT, DPT, SCS, CSCS
• Sharon J Jelkovac, PA-C
• Armelle Y Jemmy-Nouafo, M.D.

• Family Nurse Practitioner in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.