Active NPI
John V Cua, MD
- Internal Medicine Physician
- Brooklyn, OH
National Provider Identifier
1639139181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.034096
- Practice address
- 9937 Shady LN
Brooklyn, OH 44144-3010 - Phone
- (216) 741-3627
- NPI assigned
- Mar 27, 2006
- Last updated
- Nov 16, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.034096 | OH | Primary |
Addresses
Primary practice location
9937 Shady LN
Brooklyn, OH 44144-3010
Mailing address
26908 Detroit Rd
Suite 301
Westlake, OH 44145-2398
Phone (440) 892-6406
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111531117 | Other | OH | TRAVELERMEDICARE RAILROAD |
| 00040007120 | Other | OH | AETNA |
| 0214299 | Medicaid | OH | |
| 000000142982 | Other | OH | ANTHEM BC BS |
| P00285914 | Other | OH | RR MEDICARE |
| 2775298710001 | Other | OH | MEDICAL MUTUAL |
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 |
|---|---|---|---|
| 35.034096 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1639139181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26908 DETROIT RD",
"address_2": "SUITE 301",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452398",
"telephone_number": "440-892-6406",
"fax_number": "440-617-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9937 SHADY LN",
"city": "BROOKLYN",
"state": "OH",
"postal_code": "441443010",
"telephone_number": "216-741-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUA",
"first_name": "JOHN",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.034096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERMEDICARE RAILROAD",
"identifier": "111531117",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "00040007120",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0214299",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000142982",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00285914",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "2775298710001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.