Individual provider Active NPI

John R Meranda, MD

  • Family Medicine Physician
  • Conneaut, OH
National Provider Identifier
1013970151
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-49707 Issued in OH
Practice address
167 W Main Rd Ste G
Conneaut, OH 44030-2057
Phone
(440) 599-8844
Fax
(440) 593-6014
NPI assigned
Apr 10, 2006
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35049707 OH
Family Medicine Physician 207Q00000X 35-49707 OH Primary

Addresses

Primary practice location

167 W Main Rd Ste G
Conneaut, OH 44030-2057

Mailing address

167 W Main Rd Ste G
Conneaut, OH 44030-2057
Phone (440) 599-8844

Other identifiers 5

IdentifierTypeStateIssuer
0674533MedicaidOH
ME0615564OtherOHMEDICARE
P00066338OtherOHRR MEDICARE
000000301814OtherOHANTHEM
N420333OtherOHWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000875 OH Practitioner - Family PracticePractitioner - Emergency Medicine 5991699555 Reassigns benefits to 1 organization
Practice locations: Conneaut, OH

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

167 W Main Rd
Suite G
Conneaut, OH 44030-2057
Phone (440) 599-8844

167 W Main Rd G
Conneaut, OH 44030-2057

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35049707OHMDEmergency Medicine Physician
35-49707OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Conneaut Medical Center CurrentSince Dec 5, 2017 Accepting new patients
University Hospitals Conneaut Medical Center CurrentSince Dec 5, 2017 Accepting new patients
John R Meranda & Linda Elaine Weber Family Medicine PastSince Oct 1, 1986 Accepting new patients
BMH Professional Corporation Past Accepting new patients
Brown Memorial Hospital Emergency Medicine Past Accepting new patients

Locations

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

Interoperability endpoints

  • Direct secure messaging: jmeranda37420@ehrdirect.uhhospitals.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1013970151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W MAIN RD STE G",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302057",
            "telephone_number": "440-599-8844",
            "fax_number": "440-593-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W MAIN RD STE G",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302057",
            "telephone_number": "440-599-8844",
            "fax_number": "440-593-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERANDA",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35049707",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-49707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0674533",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ME0615564",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00066338",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000301814",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N420333",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneaut, OH

Sources for this page

Verify at the official NPI Registry.