Provider Demographics
NPI:1710916622
Name:YOKIEL, JEROME B (MD)
Entity Type:Individual
Prefix:
First Name:JEROME
Middle Name:B
Last Name:YOKIEL
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:P.O. BOX 849
Mailing Address - Street 2:
Mailing Address - City:TWINBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087
Mailing Address - Country:US
Mailing Address - Phone:216-581-7246
Mailing Address - Fax:216-475-9977
Practice Address - Street 1:4919 WARRENSVILLE CTR RD.
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HTS
Practice Address - State:OH
Practice Address - Zip Code:44128
Practice Address - Country:US
Practice Address - Phone:216-581-7246
Practice Address - Fax:216-478-9977
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-059140Y207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0813767Medicaid
OHYO0773332Medicare ID - Type Unspecified
OH0813767Medicaid