Jack Anstandig, M.D., Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35-05-2146 Issued in OH

Legal business name

JACK ANSTANDIG, M.D., INC.

Practice address

34900 Chardon Rd
Suite #201
Willoughby, OH 44094-9161

Phone

(440) 269-1550

Fax

(440) 269-1750

NPI assigned

Apr 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Anstandig, M.D.NPI 1558456426

Title

President

Phone

(440) 269-1550

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Anstandig, MD

  • Neurology Physician
  • Willoughby Hills, OH
  • NPI 1558456426
  Authorized official Same address or phone
• Janet May Blanchard, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Mentor, OH
  • NPI 1538229059
  NPD (past)
• Peter S Carrillo, M.D.

  • Surgery Physician
  • Brooklyn, OH
  • NPI 1063583193
  NPD (past)

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457474330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34900 CHARDON RD",
            "address_2": "SUITE #201",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949161",
            "telephone_number": "440-269-1550",
            "fax_number": "440-269-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34900 CHARDON RD",
            "address_2": "SUITE #201",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949161",
            "telephone_number": "440-269-1550",
            "fax_number": "440-269-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK ANSTANDIG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANSTANDIG",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-269-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35-05-2146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Jean Ianiro, NURSE PRACTITIONER
• Jamiee K Imbrogno
• Abdul Latif Itani, MD
• Izold a Malament MD Inc
• J. Michael Vento, M.D.
• Kim Yvette Jackson, LPN
• Latoiya Talisha Jackson, LPN
• Traci Jackson
• Bruce Robert Jacobson, M.D.
• David Jacobson Jr., PA

• Neurology Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.