Jonathan Hale

NPI 1124879366 · on the registry since 2024

Practice

Address: 14701 Detroit Ave
Lakewood, OH 44107
Phone: (440) 578-8200
Organisation at this address: Chris Checkett Llc
Lakewood Pediatrics
Signature Health Inc
Lakewood Dermatology
Integration Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 87

Registry record

Primary taxonomy: 104100000X
104100000X
Also registered as: 171M00000X
101YA0400X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-20
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio