Provider Demographics
NPI:1215915897
Name:PEARLMAN, JONATHAN H (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:H
Last Name:PEARLMAN
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 1:1153 E MAIN ST
Mailing Address - Street 2:PO BOX 2563
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-4056
Mailing Address - Country:US
Mailing Address - Phone:740-687-8990
Mailing Address - Fax:740-687-8230
Practice Address - Street 1:2384 N MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1637
Practice Address - Country:US
Practice Address - Phone:740-681-9905
Practice Address - Fax:740-681-9726
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.062504208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH250010597OtherRAILROAD MEDICARE
OH000000122696OtherANTHEM BC/BS
OH0849738Medicaid
OH1566502OtherCIGNA
OH311639119031OtherCARESOURCE MEDICAID
OH2300047OtherUNITEDHEALTHCARE
OH4236608OtherAETNA
OH2300047OtherUNITEDHEALTHCARE
OH250010597OtherRAILROAD MEDICARE
OH0849738Medicaid