Healthcare Provider Details

I. General information

NPI: 1831156876
Provider Name (Legal Business Name): JNO JACOB DISCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 04/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WABASH AVE
AKRON OH
44307-2433
US

IV. Provider business mailing address

21755 BROOKPARK RD
CLEVELAND OH
44126-3200
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-1799
  • Fax: 330-253-8293
Mailing address:
  • Phone: 440-777-6300
  • Fax: 440-777-2330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35083069
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: