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Contact Information

JEFFREY P SCAVELLI, AA-C
29000 CENTER RIDGE RD
WESTLAKE, OH44145-5293
 Phone: 440-827-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for JEFFREY P SCAVELLI · (Male)

NPI Number 1154314094
Status Active
Credentials AA-C
Entity Individual
Enumeration date 08/25/2005
Last updated 12/19/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 667
  • OH Medicaid 2524512
  • OH Other 000000346560 ANTHEM BCBS
  • OH Other P00739953 RAILROAD MEDICARE
Hospital affiliation(s)
  • FAIRVIEW HOSPITAL - (Acute Care)
    18101 LORAIN AVENUE
    CLEVELAND, OH 44111
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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