Jeffrey MP Siminovitch MD Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35044819 Issued in OH

Legal business name

JEFFREY MP SIMINOVITCH MD INC

Practice address

9500 Mentor Ave
Suite 370
Mentor, OH 44060-8713

Phone

(440) 946-4555

Fax

(440) 357-5353

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M.P. Siminovitch, M.D.

Title

President

Phone

(440) 946-4555

Specialties & licenses 1

Addresses

Other identifiers 14

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1598899841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MENTOR AVE",
            "address_2": "SUITE 370",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608713",
            "telephone_number": "440-946-4555",
            "fax_number": "440-357-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MENTOR AVE",
            "address_2": "SUITE 370",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608713",
            "telephone_number": "440-946-4555",
            "fax_number": "440-357-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY MP SIMINOVITCH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "SIMINOVITCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-946-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35044819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0738054",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FWJ QUALCHOICE",
            "identifier": "23781",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450695",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FWJ MEDICAL MUTUAL",
            "identifier": "298787415001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410448",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHW ANTHEM",
            "identifier": "000000133826",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JMPS ANTHEM",
            "identifier": "000000133827",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FWJ RAILROAD",
            "identifier": "P00005368",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FWJ ANTHEM",
            "identifier": "000000309743",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FWJ UNKNOWN",
            "identifier": "05084",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LHW RAILROAD",
            "identifier": "340018529",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GRP NUMBER",
            "identifier": "CH4740",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FWJ UHC",
            "identifier": "1901072",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JMPS RAILROAD",
            "identifier": "340000044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Joan Janusz, CMS, QMHS
• Christina Jefferies
• Janell Jefferson
• Angela K Jeffery, LPC
• Jeffrey D Bailey, Inc.
• Cindy J Jenkins
• Sharlesa Jenkins, QMHS
• Jennifer Greer MD LLC
• Juavan Jennings
• Sarah Vivian Jeppesen, LPCC

• Urology Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.