Provider Demographics
NPI:1548290836
Name:JANDURA-CESSNA, HALINA (MD)
Entity type:Individual
Prefix:
First Name:HALINA
Middle Name:
Last Name:JANDURA-CESSNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 BALFOUR DR
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-4633
Mailing Address - Country:US
Mailing Address - Phone:315-744-5730
Mailing Address - Fax:888-691-6971
Practice Address - Street 1:1341 CLARK ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9614
Practice Address - Country:US
Practice Address - Phone:740-439-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136365207P00000X
NY193813207P00000X
OH35.064781207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01451032Medicaid
WV3810023264Medicaid
OH000000492738OtherOHIO MEDICAID UNISON
OH000000492738OtherOHIO MEDICAID UNISON
WV3810023264Medicaid
OHH101220Medicare PIN
NYJ400011966Medicare PIN