Active NPI
John Charles Fondran, MD
- Colon & Rectal Surgery Physician
- Akron, OH
National Provider Identifier
1699941617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 35.090057
- Practice address
- 550 E Market St
Suite 103
Akron, OH 44304-1613 - Phone
- (330) 434-5978
- Fax
- (330) 434-6908
- NPI assigned
- Apr 30, 2008
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 35.090057 | OH | Primary |
Addresses
Primary practice location
550 E Market St
Suite 103
Akron, OH 44304-1613
Mailing address
550 E Market St
Suite 103
Akron, OH 44304-1613
Phone (330) 434-5978
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2848744 | Medicaid | OH | |
| 4239791 | Other | OH | MEDICARE ID |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1699941617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E MARKET ST",
"address_2": "SUITE 103",
"city": "AKRON",
"state": "OH",
"postal_code": "443041613",
"telephone_number": "330-434-5978",
"fax_number": "330-434-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E MARKET ST",
"address_2": "SUITE 103",
"city": "AKRON",
"state": "OH",
"postal_code": "443041613",
"telephone_number": "330-434-5978",
"fax_number": "330-434-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONDRAN",
"first_name": "JOHN",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "35.090057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2848744",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "4239791",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.