Provider Demographics
NPI:1639175375
Name:CHAITOFF, JEFFREY A (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:CHAITOFF
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 1:31340 SOLON RD STE 27
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3574
Mailing Address - Country:US
Mailing Address - Phone:440-919-0180
Mailing Address - Fax:440-919-0181
Practice Address - Street 1:31340 SOLON RD STE 27
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3574
Practice Address - Country:US
Practice Address - Phone:440-919-0180
Practice Address - Fax:440-919-0181
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.036076207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0996955OtherUNITED MINE WORKERS
OH341040606003OtherTRICARE
OH02641110OtherFEDERAL BLACK LUNG PROGRA
OH101828OtherKAISER
OH3410406060OtherTRICARE
OH341040606027OtherCARESOURCE
OH0402214OtherMETLIFE
OH0365064Medicaid
OH110044294OtherRAILROAD MEDICARE
OH30044710007OtherMEDICAL MUTUAL
OH000000126360OtherANTHEM
OH0402215OtherMETLIFE
OH407151400OtherMARYLAND MEDICAID
OHR36076OtherAPEX
OH1958404OtherCIGNA
OHA78090Medicare UPIN