James Charles Gaidelis, PA-C, R.N.
Physician Assistant, Surgical in Chardon, OH. Individual provider (NPI-1).
NPI number1154377976
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154377976
- Entity type
- Individual (NPI-1)
- Name
- James Charles Gaidelis
- Credential
- PA-C, R.N.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
13241 Ravenna RdChardon, OH 44024-9012
Phone 216-383-0100 · Fax 216-383-6481
Mailing address
Po Box 74751Cleveland, OH 44194-0834
Phone 216-383-6480 · Fax 216-383-6745
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