Individual provider Active NPI

Jonathan Eric Klarfeld, M.D.

  • Internal Medicine Physician
  • Lorain, OH
National Provider Identifier
1174554349
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-045004 Issued in OH
Practice address
3905 Oberlin Ave
Lorain, OH 44053-2853
Phone
(216) 978-1116
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-045004 OH Primary

Addresses

Primary practice location

3905 Oberlin Ave
Lorain, OH 44053-2853

Mailing address

3905 Oberlin Ave
Lorain, OH 44053-2853
Phone (330) 486-6092

Other identifiers 1

IdentifierTypeStateIssuer
0557562MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227001378 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9133137078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-045004OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1174554349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532853",
            "telephone_number": "330-486-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532853",
            "telephone_number": "216-978-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARFELD",
        "first_name": "JONATHAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-045004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0557562",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.