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NPI Code Detail

MEDICARE: JONATHAN PERRY

MEDICARE: JONATHAN PERRY
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
1171M00000XCase Manager/Care CoordinatorOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881546976
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN PERRY
Provider Business Mailing Address
First Line : 45556 PECK WADSWORTH RD
Second Line :
City : WELLINGTON
State : OH
Zip : 44090-9667
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1530 W RIVER RD N
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2791
Country : US
Telephone Number : 440-324-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/23/2026

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Directions to “ JONATHAN PERRY ” Practice Location

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