Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 35.062504 | OH |
N | 2081P2900X | Pain Medicine | 35.062504 | OH |
NPI | 1215915897 |
---|---|
Provider Name | Dr. Jonathan H Pearlman |
First Address | Lancaster, OH 43130-4056 |
Second Address | Lancaster, OH 43130-1637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 28/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000122696 | ANTHEM BC/BS (01) | OH |
0849738 | (05) | OH |
1566502 | CIGNA (01) | OH |
2300047 | UNITEDHEALTHCARE (01) | OH |
250010597 | RAILROAD MEDICARE (01) | OH |
311639119031 | CARESOURCE MEDICAID (01) | OH |
4236608 | AETNA (01) | OH |
E59466 | (02) | OH |