Individual provider Active NPI

Jennifer Rebecca Bohl, M.D.

  • Ophthalmology Physician
  • Cleveland Heights, OH
National Provider Identifier
1831203181
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35-087264 Issued in OH
Practice address
10 Severance Cir
Cleveland Heights, OH 44118-1533
Phone
(216) 621-5600
Fax
(216) 297-2678
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35-087264 OH Primary

Addresses

Primary practice location

10 Severance Cir
Cleveland Heights, OH 44118-1533

Mailing address

1001 Lakeside Ave E
#1200
Cleveland, OH 44114-1158
Phone (216) 479-5541

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
I20060403000007 OH Practitioner - Ophthalmology 2264440205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

1260 Independence Ave
Akron, OH 44310-1812
Phone (234) 312-2111

525 E Market St
Akron, OH 44304-1619

75 Arch St
Akron, OH 44304-1431

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-087264OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Apr 1, 2016 Accepting new patients
Summa Physicians LLC Ophthalmology CurrentSince Apr 1, 2016 Accepting new patients
The Metrohealth System Current Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1260 Independence Ave
Akron, OH 44310
Phone (234) 312-2111

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

Interoperability endpoints

  • Direct secure messaging: jbohl20112@summahealth-direct.org
  • Direct secure messaging: jbohl113962@direct.metrohealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1831203181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAKESIDE AVE E",
            "address_2": "#1200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141158",
            "telephone_number": "216-479-5541",
            "fax_number": "216-479-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SEVERANCE CIR",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181533",
            "telephone_number": "216-621-5600",
            "fax_number": "216-297-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHL",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-087264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.