Individual provider Active NPI

James Lambros, D.O.

  • Family Medicine Physician
  • Ashtabula, OH
National Provider Identifier
1760475560
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34002513 Issued in OH
Practice address
611 Lake Ave
Ashtabula, OH 44004-3262
Phone
(440) 964-0616
Fax
(440) 964-3703
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34002513 OH Primary

Addresses

Primary practice location

611 Lake Ave
Ashtabula, OH 44004-3262

Mailing address

611 Lake Ave
Ashtabula, OH 44004-3262
Phone (440) 964-0616

Other identifiers 2

IdentifierTypeStateIssuer
P00119279OtherOHRAILROAD MEDICARE
0635987MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903002703 OH Order and Referring Only - Family PracticePractitioner - Family Practice 6204816838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1760475560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043262",
            "telephone_number": "440-964-0616",
            "fax_number": "440-964-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043262",
            "telephone_number": "440-964-0616",
            "fax_number": "440-964-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBROS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34002513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00119279",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.