Individual provider Active NPI

Jessica Nazzaro

  • Obstetrics & Gynecology Physician
  • Dover, OH
National Provider Identifier
1982050555
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34318 Issued in NH
Practice address
400 Medical Park Dr Ste LL1
Dover, OH 44622-3207
Phone
(330) 440-7900
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34318 NH Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 34.014229 OH

Addresses

Primary practice location

400 Medical Park Dr Ste LL1
Dover, OH 44622-3207

Mailing address

400 Medical Park Dr Ste LL1
Dover, OH 44622-3207
Phone (330) 440-7900

Other practice location 1

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5400

Other practice location 2

2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 363-6326

Other identifiers 1

IdentifierTypeStateIssuer
1982050555MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Clevelandclinic.org

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
I20200811004001 OH Practitioner - Obstetrics/Gynecology 6406140904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Practice addresses (Care Compare)

110 Dublin Dr
Dover, OH 44622-7805
Phone (330) 364-9088

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.014229OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Physician Services, LLC Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
The Union Hospital Association Single Specialty Past Accepting new patients

Locations

400 Medical Park Dr
Ste 103
Dover, OH 44622
Phone (330) 343-4411

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

400 Medical Park Dr
Ste LL1
Dover, OH 44622
Phone (330) 364-2700

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

110 Dublin Dr
Dover, OH 44622
Phone (330) 343-0753

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.

Hospital & facility affiliations 2

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1982050555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR STE LL1",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-440-7900",
            "fax_number": "330-440-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR STE LL1",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-440-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Court St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034311718",
            "country_code": "US",
            "telephone_number": "603-354-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Sixth St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-363-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZZARO",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "34318",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.014229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982050555",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Clevelandclinic.org",
            "affiliation": "N",
            "address_1": "400 Medical Park Dr Ste Ll1",
            "city": "Dover",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446223207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.