John R Meranda, MD
Individual provider Active NPI Family Medicine Physician · Conneaut, OH
NPI 1013970151 · NPPES record last updated Feb 27, 2012
Key facts
- NPI
- 1013970151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35-49707 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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
- University Hospitals Conneaut Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 13 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040212000875 | OH | Practitioner - Family Practice |
5991699555 |
Reassigns benefits to 1 organization Practice locations: Conneaut, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35049707 | OH | MD | Emergency Medicine Physician |
| 35-49707 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Conneaut Medical Center | Current |
Accepting new patients | |
| University Hospitals Conneaut Medical Center | Current |
Accepting new patients | |
| Brown Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
| John R Meranda & Linda Elaine Weber | Family Medicine | Past |
Accepting new patients |
| BMH Professional Corporation | Past | Accepting new patients |
Locations
158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777
Interoperability endpoints
- jmeranda37420@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35049707 | OH | |
| Family Medicine Physician | 207Q00000X | 35-49707 | OH | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N420333 | Other | OH | WELLCARE |
| 0674533 | Medicaid | OH | |
| ME0615564 | Other | OH | MEDICARE |
| P00066338 | Other | OH | RR MEDICARE |
| 000000301814 | Other | OH | ANTHEM |
Other providers in Conneaut, OH
- Sheila Martin
- Bradley W. Maurer
- Karen McNeil
- Meadow Falls Conneaut Opco LLC
- Gabrielle Melena
- Cynthia Lou Rodgers Misch
- Monroe Firemans Association Inc
- Moon K Yoon, MD Inc.
- Donna M Moore
- Anthony Mucci
All providers in Conneaut, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.