Provider Demographics
NPI:1730192360
Name:SCHARFSTEIN, JONATHAN SETH (MD)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:SETH
Last Name:SCHARFSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 MAYFIELD ROAD
Mailing Address - Street 2:SUITE 444
Mailing Address - City:MAYFIELD HGTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2209
Mailing Address - Country:US
Mailing Address - Phone:440-449-8890
Mailing Address - Fax:440-449-7580
Practice Address - Street 1:6801 MAYFIELD ROAD
Practice Address - Street 2:SUITE 444
Practice Address - City:MAYFIELD HGTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2209
Practice Address - Country:US
Practice Address - Phone:440-449-8890
Practice Address - Fax:440-449-7580
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067016S207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0990905Medicaid
4552075OtherAETNA NON-HMO
000000142195OtherANTHEM
2382075OtherAETNA HMO
000000142195OtherANTHEM
E62827Medicare UPIN