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DR. SHINOJ PATTALI JAYAVALSAN M.D NPI 1275849788


NPI Information

NPI: 1275849788
Provider Name: DR. SHINOJ PATTALI JAYAVALSAN, M.D
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Organization: ASHTABULA COUNTY MEDICAL CENTER

PECOS Registration: Yes

Address:
400 MATTHEW ST
STRECKER CANCER CENTER
MARIETTA, OH
ZIP 45750
Phone: (740) 376-5000
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DR. Shinoj Pattali Jayavalsan, M.D is a hematology and oncology internal medicine in Marietta, OH with 20 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Shinoj Pattali Jayavalsan, M.D NPI is 1275849788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 MATTHEW ST
STRECKER CANCER CENTER
MARIETTA, OH
ZIP 45750-644
Phone: (740) 376-5000
Fax: (740) 376-5002

The NPI 1275849788 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2010 and was last updated on 6/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine125057348ILLINOISNo
2207RH0003XInternal MedicineHematology & Oncology35.127465OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H465481MEDICARE PINOHIO
2H465480MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.