Active NPI
Jonathan Robt Klein, MD
- Emergency Medicine Physician
- Warrensville Heights, OH
National Provider Identifier
1679510366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35059737
- Practice address
- 20000 Harvard Ave
Warrensville Heights, OH 44122-6805 - Phone
- (216) 491-6000
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35059737 | OH | Primary |
Addresses
Primary practice location
20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Mailing address
32772 Springside LN
Solon, OH 44139-2067
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0846302 | Medicaid | OH | |
| 942460636440 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35059737 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
20000 Harvard Ave
Warrensville Heights, OH 44122
Phone (216) 491-7460
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679510366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32772 SPRINGSIDE LN",
"city": "SOLON",
"state": "OH",
"postal_code": "441392067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20000 HARVARD AVE",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441226805",
"telephone_number": "216-491-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "JONATHAN",
"middle_name": "ROBT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35059737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0846302",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "942460636440",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrensville Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.