Active NPI
Joseph Louis Reccord
- Clinical Pathology/Laboratory Medicine Physician
- Solon, OH
National Provider Identifier
1134713852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 36D2187813
- Practice address
- 33001 Solon Rd Ste 202
Solon, OH 44139-2864 - Phone
- (216) 355-5667
- NPI assigned
- Feb 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 36D2187813 | OH | Primary |
Addresses
Primary practice location
33001 Solon Rd Ste 202
Solon, OH 44139-2864
Mailing address
33001 Solon Rd Ste 202
Solon, OH 44139-2864
Phone (216) 355-5667
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36D2187813 | OH | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1134713852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33001 SOLON RD STE 202",
"city": "SOLON",
"state": "OH",
"postal_code": "441392864",
"telephone_number": "216-355-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33001 SOLON RD STE 202",
"city": "SOLON",
"state": "OH",
"postal_code": "441392864",
"telephone_number": "216-355-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECCORD",
"first_name": "JOSEPH",
"middle_name": "LOUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "OH",
"license": "36D2187813",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "n/a",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "33001 Solon Rd Ste 202",
"city": "Solon",
"state": "OH",
"country_code": "US",
"postal_code": "441392864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.