Provider Demographics
NPI:1649298365
Name:AULETTA, JEFFERY JAMES (MD)
Entity type:Individual
Prefix:
First Name:JEFFERY
Middle Name:JAMES
Last Name:AULETTA
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 1:700 CHILDREN'S DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2664
Mailing Address - Country:US
Mailing Address - Phone:614-722-3552
Mailing Address - Fax:614-722-3699
Practice Address - Street 1:700 CHILDREN'S DRIVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2664
Practice Address - Country:US
Practice Address - Phone:614-722-3552
Practice Address - Fax:614-722-3699
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350729272080P0208X
OH35-0729272080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH363328OtherWELLCARE
GA015977375AMedicaid
OH7160219OtherAETNA
OH2169157OtherBCMH
OH000000183468OtherANTHEM
OH000000525874OtherANTHEM
OH2169157Medicaid
OH221260OtherUNISON
PA1026893330001Medicaid
OH739164OtherBUCKEYE
OH2169157OtherAETNA
OH221260OtherUNISON
OH2169157Medicaid