Active NPI
Veranova Health
- Obstetrics & Gynecology Physician
- Middleburg Heights, OH
National Provider Identifier
1639897846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- VERANOVA HEALTH
- Practice address
- 7379 Pearl Rd
Middleburg Heights, OH 44130-4898 - Phone
- (440) 732-2173
- Fax
- (216) 502-4186
- NPI assigned
- Aug 15, 2022
- Last updated
- Aug 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Jakubisin
- Title
- Founder
- Phone
- (440) 527-1070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
7379 Pearl Rd
Middleburg Heights, OH 44130-4898
Mailing address
21881 Marian Cir
Fairview Park, OH 44126-2617
Phone (440) 527-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2269988 | Veranova Health | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 11
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.
-
- Obstetrics & Gynecology Physician
- Middleburg Heights, OH
- NPI 1497066112
-
- Physical Therapist
- Cleveland, OH
- NPI 1235768177
-
- Physical Therapist
- Parma, OH
- NPI 1548487317
-
- Nurse Practitioner
- Middleburg Heights, OH
- NPI 1821038993
-
- Family Medicine Physician
- Akron, OH
- NPI 1932302841
-
- Physician Assistant
- Alliance, OH
- NPI 1467886754
-
- Counselor
- Mentor, OH
- NPI 1255954285
-
- Advanced Practice Midwife
- Apple Creek, OH
- NPI 1629807318
-
- Family Nurse Practitioner
- Cleveland, OH
- NPI 1720455215
-
- Addiction (Substance Use Disorder) Counselor
- Dublin, OH
- NPI 1346926672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1639897846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21881 MARIAN CIR",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262617",
"telephone_number": "440-527-1070",
"fax_number": "216-502-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7379 PEARL RD",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441304898",
"telephone_number": "440-732-2173",
"fax_number": "216-502-4186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERANOVA HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "JAKUBISIN",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "440-527-1070"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.