Individual
DR. JOHN JOSEPH ONDREJKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7956 TYLER BLVD, MENTOR, OH 44060-4806
(440) 716-1283
(440) 716-1605
Mailing address
510 5TH AVE, CHARDON, OH 44024-1076
(440) 286-8908
(440) 279-1527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-055148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339419
ANTHEM
OH
05
—
2073581
—
OH
01
—
264200000
DEPT OF LABOR
OH
01
—
341425870042
MEDICAL MUTUAL OF OHIO
OH
01
—
6600162
UNITED HEALTHCARE
OH
01
—
80507
QUALCHOICE
OH
Enumeration date
03/28/2006
Last updated
02/22/2016
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