Individual provider Active NPI

Sunitha Jagadish, MD

  • Obstetrics & Gynecology Physician
  • Canton, OH
National Provider Identifier
1699833756
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35086455 Issued in OH
Practice address
5000 Higbee Ave NW
Canton, OH 44718-2522
Phone
(330) 493-0313
Fax
(330) 493-9349
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35086455 OH Primary

Addresses

Primary practice location

5000 Higbee Ave NW
Canton, OH 44718-2522

Mailing address

5000 Higbee Ave NW
Canton, OH 44718-2522
Phone (330) 493-0313

Other identifiers 1

IdentifierTypeStateIssuer
2633421MedicaidOH

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070221000238 OH Practitioner - Obstetrics/Gynecology 6406958560 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stark County Women'S Clinic IncGroup PAC ID 7012941677, 6 clinicians

Practice addresses (Care Compare)

5000 Higbee Ave NW
Canton, OH 44718-2522
Phone (330) 493-0313

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35086455OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Community Health Center Obstetrics & Gynecology CurrentSince Nov 27, 2016 Accepting new patients
Aultman Hospital CurrentSince Oct 1, 2005 Accepting new patients
My Community Health Center Obstetrics & Gynecology CurrentSince Nov 27, 2016 Accepting new patients
Aultman Hospital CurrentSince Oct 1, 2005 Accepting new patients
Stark County Pathologists Inc Current Accepting new patients
Stark County Women'S Clinic Inc Obstetrics & Gynecology CurrentSince Jun 1, 2006 Accepting new patients
Ohio Physician Professional Corporation CurrentSince Aug 27, 2014 Accepting new patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
Aultman Hospital Past Accepting new patients

Locations

2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

5000 Higbee Ave NW
Canton, OH 44718
Phone (330) 493-0313

4347 Portage St NW
Ste 102
North Canton, OH 44720

Interoperability endpoints

  • Direct secure messaging: sunithajagadish@swc.allscriptsdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1699833756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182522",
            "telephone_number": "330-493-0313",
            "fax_number": "330-493-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182522",
            "telephone_number": "330-493-0313",
            "fax_number": "330-493-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGADISH",
        "first_name": "SUNITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35086455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2633421",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.