Active NPI
Jon K Abrahamson, M.D.
- Specialist
- Fairview Park, OH
National Provider Identifier
1518992452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35051825A
- Practice address
- 20800 Westgate
#400
Fairview Park, OH 44126 - Phone
- (440) 356-2272
- Fax
- (440) 356-2299
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 35051825A | OH | Primary |
Addresses
Primary practice location
20800 Westgate
#400
Fairview Park, OH 44126
Mailing address
20800 Westgate Professional BLDG.
#400
Fairview Park, OH 44126
Phone (440) 356-2272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0607481 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35051825A | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1518992452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20800 WESTGATE PROFESSIONAL BLDG.",
"address_2": "#400",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "44126",
"telephone_number": "440-356-2272",
"fax_number": "440-356-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20800 WESTGATE",
"address_2": "#400",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "44126",
"telephone_number": "440-356-2272",
"fax_number": "440-356-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAMSON",
"first_name": "JON",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35051825A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0607481",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairview Park, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.