Individual
JANTIRA TARA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 827-5784
(440) 827-5412
Mailing address
34476 SAINT MARON BLVD, AVON, OH 44011-3219
(814) 923-1324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34011590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127975
—
OH
Enumeration date
05/07/2012
Last updated
07/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us