Individual provider Active NPI

J Michael Vento, M.D.

  • Orthopaedic Surgery Physician
  • Willoughby, OH
National Provider Identifier
1568472371
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35052241 Issued in OH
Practice address
34600 Chardon Rd
Willoughby, OH 44094-8480
Phone
(440) 943-5936
NPI assigned
Aug 8, 2006
Last updated
May 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0643012MedicaidOH

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

LicenseStateTypeSpecialty
35052241OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Michael Vento, M.D. Orthopaedic Surgery PastSince Jul 8, 2005 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.

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.

Verify at the official NPI Registry.