Active NPI
James R Conforto, MD
- Ophthalmology Physician
- Fairview Park, OH
National Provider Identifier
1629078365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 36039945C
- Practice address
- 21245 Lorain Rd
Ll100
Fairview Park, OH 44126-2146 - Phone
- (440) 331-6855
- Fax
- (440) 331-9105
- NPI assigned
- Jul 22, 2005
- Last updated
- Dec 22, 2012
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 36039945C | OH | Primary |
Addresses
Primary practice location
21245 Lorain Rd
Ll100
Fairview Park, OH 44126-2146
Mailing address
21245 Lorain Rd
Ll100
Fairview Park, OH 44126-2146
Phone (440) 331-6855
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 |
|---|---|---|---|
| 36039945C | OH | MD | Ophthalmology Physician |
| 39945 | OH | MD | Certified Registered Nurse Anesthetist |
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.
-
- Ophthalmology Physician
- Fairview Park, OH
- NPI 1114114634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356134400000",
"number": "1629078365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21245 LORAIN RD",
"address_2": "LL100",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262146",
"telephone_number": "440-331-6855",
"fax_number": "440-331-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21245 LORAIN RD",
"address_2": "LL100",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262146",
"telephone_number": "440-331-6855",
"fax_number": "440-331-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONFORTO",
"first_name": "JAMES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2012-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "36039945C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Park, OH
- Cleveland Cardiovascular Research Foundation
- Cleveland Eye and Laser Surgery Center LLC
- Cleveland Vascular Surg Asoc (none)
- Megan Cody, PHARM.D.
- Comprehensive Vascular Centers, LLC
- Rhonda S. Conn, CNP
- Connect Hearing, Inc.
- Michael David Connell, RPH
- Robert Elliot Cook, LPC-CR
- Joseph Donald Cooper, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.