Provider Demographics
NPI:1326040742
Name:JINKS, JEFFREY HARVEY (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:HARVEY
Last Name:JINKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-0541
Mailing Address - Fax:
Practice Address - Street 1:8054 DARROW RD STE 3
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2387
Practice Address - Country:US
Practice Address - Phone:330-425-3344
Practice Address - Fax:330-425-8847
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35057126J208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHR57126OtherSUMMACARE HEALTH PLAN
OH0740596Medicaid
OH000000025372OtherANTHEM BCBS