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Contact Information

JAY E SIDLOSKI, DO
41201 SCHADDEN RD
SUITE 2
ELYRIA, OH44035-2220
 Phone: 440-324-0401
 Fax: 440-324-0405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAY E SIDLOSKI · (Male)

NPI # 1912950502
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/18/2006
Last updated 01/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 007091
  • OH Medicaid 2469001
  • OH Other 7993540 AETNA
  • OH Other 000000331597 ANTHEM
  • OH Other 341832420027 CARE SOURCE
  • OH Other 05125 KAISER
  • OH Other 1000081 QUAL CHOICE
  • OH Other P00129474 RAILROAD MEDICARE
  • OH Other E07091 SUMMACARE
Hospital affiliation(s)
  • EMH REGIONAL MEDICAL CENTER - (Acute Care)
    630 EAST RIVER STREET
    ELYRIA, OH 44035
  • MERCY ALLEN HOSPITAL - (Critical Access)
    200 WEST LORAIN STREET
    OBERLIN, OH 44074
  • MERCY REGIONAL MEDICAL CENTER - (Acute Care)
    3700 KOLBE ROAD
    LORAIN, OH 44053
  • UNIVERSITY HOSPITALS OF CLEVELAND - (Acute Care)
    11100 EUCLID AVENUE
    CLEVELAND, OH 44106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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