Jon D Kannensohn, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35078034K Issued in OH

Practice address

9000 Mentor Ave Ste 100
Mentor, OH 44060-4496

Phone

(440) 974-4411

Fax

(440) 974-4173

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jkannensohn37826@ehrdirect.uhhospitals.org

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• University Primary Care Practices

  • Pediatrics Physician
  • Twinsburg, OH
  • NPI 1326166752
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1760583587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-974-4411",
            "fax_number": "440-974-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 MENTOR AVE STE 100",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604496",
            "telephone_number": "440-974-4411",
            "fax_number": "440-974-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNENSOHN",
        "first_name": "JON",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35078034K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197662",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Nicole Kadis, LLMFT
• Azeemah Kaleem Belkhiri
• Julie Ann Kalina Hammond, LISW
• Marie Kallay
• Hallie Kania, PTA
• Linden Abigail Karas, MD
• Hawanatu Kargbo, LPC
• Karl S. Stoler, O.D. & Associates, Inc.
• Jennifer Leigh Karlstrom, L.S.W.
• Andrea Kaseda

• Pediatrics Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.

Verify at the official NPI Registry.