Active NPI
Denise C. Jennings, M.D.
- Obstetrics & Gynecology Physician
- Cleveland, OH
National Provider Identifier
1811901614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35047131
- Practice address
- 12100 Superior Ave
Cleveland, OH 44106-1444 - Phone
- (216) 231-7700
- Fax
- (216) 231-7920
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35047131 | OH | Primary |
Addresses
Primary practice location
12100 Superior Ave
Cleveland, OH 44106-1444
Mailing address
12100 Superior Ave
Cleveland, OH 44106-1444
Phone (216) 231-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0595637 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Healthcare Services LLC | Past | Accepting new patients | |
| Medical Care Center LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Cleveland, OH
- NPI 1619392313
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1770671752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811901614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 SUPERIOR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061444",
"telephone_number": "216-231-7700",
"fax_number": "216-231-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 SUPERIOR AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061444",
"telephone_number": "216-231-7700",
"fax_number": "216-231-7920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "DENISE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35047131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0595637",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, 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.