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

Last updated

Jan 24, 2012By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthrapid Inc

  • Family Medicine Physician
  • Parma, OH
  • NPI 1861568925
  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": [],
    "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

• Family Medicine Physician in Lorain, OH
• Providers in Lorain, OH by specialty
• 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.