MEDICARE: JEFFREY HARVEY JINKS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35057126J	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R57126	OTHER	OH	SUMMACARE HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000025372	OTHER	OH	ANTHEM BCBS

General Provider Information

NPI Number	:	1326040742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY HARVEY JINKS M.D.

Provider Business Mailing Address
First Line	:	1 PERKINS SQ
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44308-1063
Country	:	US
Telephone Number	:	330-543-0541
Fax Number	:

Provider Business Practice Location Address
First Line	:	8054 DARROW RD STE 3
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-2387
Country	:	US
Telephone Number	:	330-425-3344
Fax Number	:	330-425-8847

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	09/21/2018

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