| Dr Jerome Chelliah, MD, MPH | |
|
8401 Market St, Boardman, OH 44512-6725 | |
| (330) 729-4350 | |
| (330) 729-4351 |
| Full Name | Dr Jerome Chelliah |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 8401 Market St, Boardman, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013371046 | NPI | - | NPPES |
| 0405268 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 150807 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 35.137267 (Ohio) | Primary |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Mercy Health Physicians Lorain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023347192 PECOS PAC ID: 1355474172 Enrollment ID: O20100730000651 |
| Entity Name | Danielle Kiko Md Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366788226 PECOS PAC ID: 8527213370 Enrollment ID: O20130227000285 |
| Entity Name | Somi Javaid Md And Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326431974 PECOS PAC ID: 5597085910 Enrollment ID: O20150526001148 |
| Entity Name | Obhg Ohio Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043596257 PECOS PAC ID: 6406281492 Enrollment ID: O20200122000412 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126381 PECOS PAC ID: 4688070055 Enrollment ID: O20210909003432 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerome Chelliah, MD, MPH 8401 Market St, Boardman, OH 44512-6725 Ph: (330) 729-4350 | Dr Jerome Chelliah, MD, MPH 8401 Market St, Boardman, OH 44512-6725 Ph: (330) 729-4350 |
Antonius Susatyo Hadi, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4350 Fax: 330-729-4351 | |
Joni S Canby, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7600 Southern Blvd, Suite 1, Boardman, OH 44512 Phone: 330-629-8466 | |
Oscar Fouad Khawli, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8423 Market St, Ste 207, Boardman, OH 44512 Phone: 330-729-7901 Fax: 330-729-7915 | |
Dr. Antoine T El-hayek, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-965-0909 Fax: 330-965-0897 | |
Dr. Thomas Joseph Zarlingo, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8423 Market St, Ste 207, Boardman, OH 44512 Phone: 330-729-7901 Fax: 330-729-7915 | |
Dr. Jacques Serge St.julien, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8401 Market St, Boardman, OH 44512 Phone: 330-729-4350 Fax: 330-729-4351 |