Active NPI
Sameer Memon
- Colon & Rectal Surgery Physician
- Cleveland, OH
National Provider Identifier
1609284850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 8888888
- Practice address
- 3353 Hollister Rd
Cleveland, OH 44118-1325 - Phone
- (216) 233-0080
- NPI assigned
- Jul 31, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 8888888 | OH | Primary |
Addresses
Primary practice location
3353 Hollister Rd
Cleveland, OH 44118-1325
Mailing address
3353 Hollister Rd
Cleveland, OH 44118-1325
Phone (216) 233-0080
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8888888 | OH | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1609284850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3353 HOLLISTER RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441181325",
"telephone_number": "216-233-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3353 HOLLISTER RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441181325",
"telephone_number": "216-233-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMON",
"first_name": "SAMEER",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "8888888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.