Individual provider Active NPI

George E. Jaskiw, M.D.

  • Psychiatry Physician
  • Brecksville, OH
National Provider Identifier
1619076957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-05-9982-J Issued in OH
Practice address
10000 Brecksville Rd
Psychiatry Service 116a(B), Louis Stokes Cleveland Vamc
Brecksville, OH 44141-3204
Phone
(440) 526-3030
Fax
(440) 717-2838
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-05-9982-J OH Primary

Addresses

Primary practice location

10000 Brecksville Rd
Psychiatry Service 116a(B), Louis Stokes Cleveland Vamc
Brecksville, OH 44141-3204

Mailing address

1772 Oakmount Rd
South Euclid, OH 44121-4008
Phone (216) 297-0344

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)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619076957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 OAKMOUNT RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214008",
            "telephone_number": "216-297-0344",
            "fax_number": "440-717-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "address_2": "PSYCHIATRY SERVICE 116A(B), LOUIS STOKES CLEVELAND VAMC",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030",
            "fax_number": "440-717-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKIW",
        "first_name": "GEORGE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-05-9982-J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, 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.

Verify at the official NPI Registry.