Prem S. Jawa, MD., Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PREM S. JAWA, MD., INC

Practice address

13170 Ravenna Rd
Ste 100
Chardon, OH 44024-7025

Phone

(440) 286-5464

Fax

(440) 286-8386

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Prem S Jawa, MDNPI 1982685541

Title

Owner-Self

Phone

(440) 286-5464

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prem S. Jawa, M.D.

  • Urology Physician
  • Cleveland, OH
  • NPI 1982685541
  NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1891819140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13170 RAVENA RD.",
            "address_2": "STE #100",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247025",
            "telephone_number": "440-286-5464",
            "fax_number": "440-286-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13170 RAVENNA RD",
            "address_2": "STE 100",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247025",
            "telephone_number": "440-286-5464",
            "fax_number": "440-286-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREM S. JAWA, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "JAWA",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER-SELF",
        "authorized_official_telephone_number": "440-286-5464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2832368",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Poole, ED. S.
• Morgan James Powell
• Precision Orthopaedic Specialties Inc
• Precision Orthopaedic Specialties Inc
• Precision Orthopaedic Specialties, Inc.
• Mark Armando Prendes, M.D.
• Ryan Prescott
• Elizabeth Price, LPMT, MT-BC
• Kaitlynn Rae Pritchett
• Prosperity Haven, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.