JAY PATIBANDLA (NPI# 1952744716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952744716 |
| Entity Type | Individual |
| Full Name | JAY PATIBANDLA |
| Credential | MD |
| Practice Address |
2600 Sixth St Sw Canton OH 44710-1702 |
| Mailing Address |
4151 Holiday St Nw Canton OH 44718-2531 |
| Practice Telephone | 3303636235 |
| Mailing Telephone | 3304928001 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 35.135238 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2600 SIXTH ST SW |
| City | CANTON |
| State | OH |
| Zip Code | 44710-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619258 | Roberto Novoa | Specialist | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2005-06-15 |
| 1730788647 | Gwendolyn Shumaker | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-10-21 |
| 1023633088 | Harry Garrett Oldland | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-06-15 |
| 1063036754 | Mena Habib Morcos | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-29 |
| 1649891185 | Kathy Jane Minger | Registered Nurse | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-06 |
| 1376164186 | Abigail Chauvin | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-04 |
| 1285254508 | Erik Keim | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1568082881 | Samantha Patterson | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1104446327 | Varun Rakesh Ravindran | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1306466537 | Brittany Gast | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
| 1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
| 1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
| 1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
| Find all providers in zip 44710 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902250996 | Alyssa Liguori | Obstetrics & Gynecology | 470 Northside Cherokee Blvd Ste 290, Canton, GA 30115-8029 | 2016-04-16 |
| 1548600042 | Simrat Singh | Obstetrics & Gynecology | 46856 Eastbourne Rd, Canton, MI 48188-3021 | 2013-06-28 |
| 1104261528 | Atlanta Women's Surgery Specialists, P.C. | Obstetrics & Gynecology | 216 Riverstone Dr, Canton, GA 30114-5256 | 2013-04-30 |
| 1063704526 | Alice May Chi | Obstetrics & Gynecology | 1051 N Canton Center Drive, Canton, MI 48187-5097 | 2011-05-03 |
| 1922236652 | Kathryn Rose Kloss | Obstetrics & Gynecology | 1600 S Canton Center Rd Ste 350, Canton, MI 48188-6277 | 2009-07-01 |
| 1184882524 | Michelle A Glasgow | Obstetrics & Gynecology | 460 Northside Cherokee Blvd Ste 400, Canton, GA 30115-8023 | 2008-05-31 |
| 1881894004 | Luna Alkhafaji | Obstetrics & Gynecology | 7300 N Canton Center Rd Ste 210, Canton, MI 48187-1579 | 2007-07-25 |
| 1730300427 | Maria Moman Moman | Obstetrics & Gynecology | 1668 W Peace Street, Canton, MS 39046 | 2007-05-01 |
| 1437242658 | Tina D Groat | Obstetrics & Gynecology | 1561 Glengarry Blvd, Canton, MI 48188-3236 | 2006-10-02 |
| 1144332800 | Jyothi R. Nichanametla | Obstetrics & Gynecology | 42287 Cherry Hill Rd, Suite D, Canton, MI 48188-2040 | 2006-08-31 |
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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.