Active NPI
J Michael Vento, M.D.
- Orthopaedic Surgery Physician
- Willoughby, OH
National Provider Identifier
1568472371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35052241
- Practice address
- 34600 Chardon Rd
Willoughby, OH 44094-8480 - Phone
- (440) 943-5936
- NPI assigned
- Aug 8, 2006
- Last updated
- May 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35052241 | OH | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 35052241 | OH |
Addresses
Primary practice location
34600 Chardon Rd
Willoughby, OH 44094-8480
Mailing address
125 Hunting TRL
Moreland Hills, OH 44022-2546
Phone (440) 943-5936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0643012 | 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 |
|---|---|---|---|
| 35052241 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Michael Vento, M.D. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Willoughby, OH
- NPI 1093841348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1568472371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 HUNTING TRL",
"city": "MORELAND HILLS",
"state": "OH",
"postal_code": "440222546",
"telephone_number": "440-943-5936",
"fax_number": "440-943-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34600 CHARDON RD",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440948480",
"telephone_number": "440-943-5936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTO",
"first_name": "J MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35052241",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OH",
"license": "35052241",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0643012",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.