Norberto L Juan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35040166 Issued in OH

Practice address

3745 Grove Ave.
Lorain, OH 44055

Phone

(440) 240-1655

Fax

(440) 233-0194

NPI assigned

Apr 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: norberto.juan.p11@direct.loraincountyhealth.nextgenshare.com

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

• Healthrapid Inc

  • Family Medicine Physician
  • Parma, OH
  • NPI 1861568925

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1093989477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11009 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022412",
            "telephone_number": "216-228-1729",
            "fax_number": "216-228-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 GROVE AVE.",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44055",
            "telephone_number": "440-240-1655",
            "fax_number": "440-233-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAN",
        "first_name": "NORBERTO",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35040166",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35040166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335104",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome Jordan Sr., CNP
• Natalie Bichole Jordan
• Danielle Marie Joseph, PT, DPT
• David Blaine Joyce, M.D.
• Juan Salvador a Solis MD Inc
• Gregory Nicholas Julian, LPC
• Julie Pruneski DDS LLC
• Veronica Julius, SWT
• Byung H Jung, MD
• Kelli Justice

• All providers in Lorain, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.