Jane Elizabeth Li-Conrad, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-006036 Issued in OH

Practice address

26151 Euclid Ave
Euclid, OH 44132-3322

Phone

(216) 261-7970

Fax

(216) 261-6191

NPI assigned

Aug 23, 2006

Last updated

Jan 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jane E. Li Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Sports Medicine

Education

Ohio University, College of Osteopathic Medicine, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Beneficial Health IncGroup PAC ID 7113173329, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Beneficial Health Inc

  • General Practice Physician
  • Hartville, OH
  • NPI 1093080079
  Medicare reassignment Care Compare group
• Knop Chiropractic Inc

  • Rehabilitation Chiropractor
  • Hartville, OH
  • NPI 1134394174
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1568579043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 714328",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432714328",
            "telephone_number": "216-261-7970",
            "fax_number": "216-261-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26151 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323322",
            "telephone_number": "216-261-7970",
            "fax_number": "216-261-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI-CONRAD",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-006036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "LI",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald P Lewis Jr., DDS
• Douglas Lewis
• Rickey Lewis
• Sameerah Yasmeena Lewis
• Wendy L Ley
• Life Anew Behavioral Health Services Inc
• Life Anew Behavioral Health, Inc
• Life Anew Home Health
• Life Change Institute
• Life Changing Care LLC (Life Changing Care)

• Family Medicine Physician in Euclid, OH
• Providers in Euclid, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.