Jennifer M Carandang, MD
Individual provider Active NPI Internal Medicine Physician · Avon, OH
NPI 1912909862 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1912909862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35075271 (OH)
- Practice address
- 36711 American Way Ste a
Avon, OH 44011-4062 - Phone
- (440) 653-8091
- Fax
- (440) 653-8089
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Primary Care Practices Inc
Practice addresses (Care Compare)
158 W Main Rd
Suite 203
Conneaut, OH 44030-2039
Phone (440) 285-2960
Hospital & facility affiliations
- University Hospital Home Care Services, Inc
- University Hospitals - Elyria Medical Center
- Uh Cleveland Medical Center
- Uh St John Medical Center
- Parma Community General Hospital
- Mercy Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040408000193 | OH | Practitioner - Internal Medicine | 0345233862 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35075271 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Pediatrics | Current |
Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices, Inc. | Current |
Accepting new patients | |
| University Primary Care Practices | Pediatrics | Past | Accepting new patients |
| Westshore Primary Care Assoc Inc | Internal Medicine | Past | Accepting new patients |
Locations
2535 Hale St
Ste B
Avon, OH 44011
Phone (440) 934-8858
1997 Healthway Dr
Ste 203
Avon, OH 44011
Phone (440) 988-6880
2535 Hale St
Ste A
Avon, OH 44011
Phone (440) 617-1823
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
29325 Health Campus Dr
Ste 2
Westlake, OH 44145
Phone (440) 835-6142
Interoperability endpoints
- jcarandang37463@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35075271 | OH | |
| Internal Medicine Physician | 207R00000X | 35075271 | OH | Yes |
Addresses
Primary practice location
36711 American Way Ste a
Avon, OH 44011-4062
Mailing address
3755 Orange PL Ste 101
Beachwood, OH 44122-4455
Phone (440) 455-3353
Other practice location 1
2535 Hale St
Suite A
Avon, OH 44011-1856
Phone (440) 934-8810
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2260771 | Medicaid | OH | |
| P00199413 | Other | OH | RR MEDICARE |
| H544081 | Other | OH | MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifercarandang@uhps.allscriptsdirect.net |
Other providers in Avon, OH
- Ellen M Button
- Jaime L Cabot
- Stephanie G Callander
- Mary Capelety
- Olivia Caplan
- Kenneth J Carbone
- Michael Weston Carbone
- Cardinal Avon, Inc.
- Beatrice Cardona Weese
- Carolyn B Crowell DMD Inc
All providers in Avon, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.