| Ahmad M Jadaan, MD | |
|
500 Burlington Rd, Jackson, OH 45640-9360 | |
| (740) 395-8316 | |
| (740) 395-8378 |
| Full Name | Ahmad M Jadaan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 500 Burlington Rd, Jackson, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265617161 | NPI | - | NPPES |
| 000000356859 | Other | OH | OH MEDICAID UNISON |
| 38100190001 | Medicaid | WV | |
| 2079889 | Medicaid | OH | |
| 310917085154 | Other | OH | OH MEDICAID CARESOURCE |
| P00878050 | Other | OH | RAILROAD MEDICARE |
| 2079889 | Other | OH | OH MEDICAID MOLINA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01047450A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01047450A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 35.074004 (Ohio) | Primary |
| Entity Name | North Central Ohio Family Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689822827 PECOS PAC ID: 3274437082 Enrollment ID: O20031124000232 |
| Entity Name | Emergency Professional Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
| Entity Name | Ohio Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184028524 PECOS PAC ID: 1658695424 Enrollment ID: O20150127000965 |
| Entity Name | Mercy Emergency Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477957819 PECOS PAC ID: 9436475795 Enrollment ID: O20150303001904 |
| Entity Name | App Of Ohio Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619418696 PECOS PAC ID: 6103102959 Enrollment ID: O20170411001544 |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad M Jadaan, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 441-1934 | Ahmad M Jadaan, MD 500 Burlington Rd, Jackson, OH 45640-9360 Ph: (740) 395-8316 |