Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 35-072927 | OH |
N | 2080P0208X | Pediatric Infectious Diseases | 35072927 | OH |
NPI | 1649298365 |
---|---|
Provider Name | Jeffery James Auletta |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 27/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000183468 | ANTHEM (01) | OH |
000000525874 | ANTHEM (01) | OH |
015977375A | (05) | GA |
1026893330001 | (05) | PA |
2169157 | (05) | OH |
2169157 | AETNA (01) | OH |
2169157 | BCMH (01) | OH |
221260 | UNISON (01) | OH |
363328 | WELLCARE (01) | OH |
7160219 | AETNA (01) | OH |
739164 | BUCKEYE (01) | OH |
H12349 | (02) | OH |