DR. THANUJA JEYAKUMAR (NPI# 1104269760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104269760 |
| Entity Type | Individual |
| Full Name | DR. THANUJA JEYAKUMAR |
| Credential | M.D |
| Practice Address |
5686 Broadview Rd Apt 2507 Parma OH 44134-1655 |
| Practice Telephone | 2162800456 |
| Mailing Telephone | 2162800456 |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA10632800 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5686 BROADVIEW RD APT 2507 |
| City | PARMA |
| State | OH |
| Zip Code | 44134-1655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093162224 | Charlene Perry | Licensed Practical Nurse | 5686 Broadview Rd, Apt 2424, Parma, OH 44134-1655 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083061709 | Gary A. Long | Occupational Therapy Assistant | 3920 Hilltop Drive, Parma, OH 44134 | 2016-05-23 |
| 1932556057 | Roman Povroznik | Social Worker | 4414 Forest Hills Blvd, Parma, OH 44134 | 2016-05-18 |
| 1316321441 | Frank Townsley Jr. | Counselor | 6735 State Rd Cottage 16, Parma, OH 44134 | 2015-07-18 |
| 1083019624 | Camille Grant | Licensed Practical Nurse | 5556 Broaview Rd. Apt3123, Parma, OH 44134 | 2014-10-24 |
| 1952721201 | Vernard Jones Sr. | Nurse's Aide | 2419 Stanfield Dr., Parma, OH 44134 | 2014-04-24 |
| 1255772463 | Deborah Halina Palmentera | Day Training/Habilitation Specialist | 1911 Grantwood Drive, Parma, OH 44134 | 2013-07-16 |
| 1962710582 | Abdallah Ali | Family Medicine | 1400 W Pleasant Valley Road, Parma, OH 44134 | 2010-09-16 |
| 1285947044 | Gwendolyn M Klamut | Speech-Language Pathologist | 5525 Broadview Road, Parma, OH 44134 | 2010-07-22 |
| 1992943435 | Gina Friszman | Speech-Language Pathologist | 5273 Broadview Rd., The Therapy Link, Parma, OH 44134 | 2009-01-21 |
| 1285823252 | Teresa Ellen Blevins | Occupational Therapy Assistant | 1440 Snow Road, Parma, OH 44134 | 2007-10-16 |
| Find all providers in zip 44134 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326374729 | Advantage Imaging, LLC | Radiology | 6900 Ridge Rd @ Delivery Drive, Suite 101, Parma, OH 44129-5650 | 2009-10-20 |
| 1770652497 | Rauf Yagan | Radiology | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-11-07 |
| 1699869867 | James R. Tagliabue | Radiology | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-10-03 |
| 1457451825 | Henry George Adams | Radiology | 12301 Snow Road, Parma, OH 44130 | 2006-09-25 |
| 1801996277 | David Ellis Radebaugh | Radiology | 12301 Snow Road, Parma, OH 44130 | 2006-09-25 |
| 1669574844 | Kwan Woo Nam | Radiology | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-09-01 |
| 1740382720 | Georgenna Riley | Radiology | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-09-01 |
| 1154438950 | Antonino Orazio Motta | Radiology | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645813 | Lumina Imaging | Radiology | 8401 Mentor Ave Ste B, Mentor, OH 44060-5843 | 2020-10-07 |
| 1700490943 | Katrina Overbey | Radiology | 4604 Northridge Dr, Batavia, OH 45103-1329 | 2020-09-04 |
| 1235752981 | Infinity Teleradiology LLC | Radiology | 17365 Lookout Dr, Chagrin Falls, OH 44023-2135 | 2020-05-28 |
| 1811481120 | Northern Ohio Medical Specialists LLC | Radiology | 2800 Hayes Ave Bldg C130, Sandusky, OH 44870-7248 | 2018-06-20 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1356756159 | Jerald Eckman | Radiology | 8645 Mallard Cir, Plain City, OH 43064-6004 | 2014-07-01 |
| 1770995854 | Proscan Womens Imaging At Redbank LLC | Radiology | 11594 Springfield Pike, Suite 26, Cincinnati, OH 45246-3527 | 2014-05-23 |
| 1104248467 | Mobile X Ray Express, LLC | Radiology | 1020 Township Road 145, Ironton, OH 45638-8593 | 2014-01-06 |
| 1356762074 | Edwin Robert Payne | Radiology | 465 Overlook Dr Ne, Lancaster, OH 43130-1918 | 2013-12-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.