Healthcare Provider Details

I. General information

NPI: 1508218520
Provider Name (Legal Business Name): JESSICA EL-ASMAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2016
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41201 SCHADDEN RD
ELYRIA OH
44035-2249
US

IV. Provider business mailing address

41201 SCHADDEN RD
ELYRIA OH
44035-2249
US

V. Phone/Fax

Practice location:
  • Phone: 440-324-0400
  • Fax: 440-324-0441
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.134593
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.134593
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: