Jack Walter Jaffe in Shaker Heights - Urology
Jack Walter Jaffe - NPI 1053478453
Jack Walter Jaffe is a Urology in Shaker Heights, Ohio. Jack Walter Jaffe practices all healthcare services and medical treatments related to Urology. The NPI Number for Jack Walter Jaffe is 1053478453. The last update date is 2007-07-08.
Jack Walter Jaffe's current location address is 44 Lyman Cir, Shaker Heights, Ohio. You can contact this provider via phone number 2164644430. The mailing address for Jack Walter Jaffe is 44 Lyman Cir, Shaker Heights, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Walter Jaffe |
|---|---|
| Address | 44 Lyman Cir, Shaker Heights, Ohio |
| Phone Number | 2164644430 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053478453 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 44 Lyman Cir |
|---|---|
| City | Shaker Heights |
| State | Ohio (OH) |
| Post Code | 441222116 |
| Phone Number | 2164644430 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 35 025358 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35 025358 | OH | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jack Walter Jaffe by the Centers for Medicare & Medicaid Services?
The Jack Walter Jaffe has been assigned the NPI (National Provider Identifier) 1053478453. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack Walter Jaffe is located?
The Jack Walter Jaffe is situated at the following address: 44 Lyman Cir, Shaker Heights, OH, 441222116.
What is the area of specialization for Jack Walter Jaffe, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Walter Jaffe is Urology, and the corresponding taxonomy code that categorizes this area of expertise is 208800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053478453 to Jack Walter Jaffe?
The Centers for Medicare & Medicaid Services assigned the 1053478453 to Jack Walter Jaffe on 2007-01-03.
As of what date was the information regarding Jack Walter Jaffe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Walter Jaffe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN