MEDICARE: DR. JORDAN PARI ACKERMAN DO

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	207Q00000X	Family Medicine Physician	34.018186	OH

General Provider Information

NPI Number	:	1942944780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORDAN PARI ACKERMAN DO

Provider Business Mailing Address
First Line	:	2818 S ARLINGTON RD
Second Line	:
City	:	COVENTRY TOWNSHIP
State	:	OH
Zip	:	44312-4716
Country	:	US
Telephone Number	:	330-645-0148
Fax Number	:

Provider Business Practice Location Address
First Line	:	2818 S ARLINGTON RD
Second Line	:
City	:	COVENTRY TOWNSHIP
State	:	OH
Zip	:	44312-4716
Country	:	US
Telephone Number	:	330-645-0148
Fax Number	:

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

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	12/10/2025

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