Active NPI
James Edward Fanning, M.D.
- Hematology & Oncology Physician
- Sandusky, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 67925
- Practice address
- 701 Tyler St
Sandusky, OH 44870-3321 - Phone
- (419) 557-7480
- Fax
- (419) 557-7533
- NPI assigned
- May 15, 2006
- Last updated
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 67925 | OH | Primary |
Addresses
Primary practice location
701 Tyler St
Sandusky, OH 44870-3321
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2076757 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67925 | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Cancer Care, Inc | Hematology & Oncology | Current | Accepting new patients |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
509 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0524
272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341
417 Quarry Lakes Dr
Sandusky, OH 44870
Phone (419) 609-2845
Interoperability endpoints
- jfanning161536@direct.ccf.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Hematology & Oncology Physician
- Sandusky, OH
- NPI 1174552913
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1861443897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448710378",
"telephone_number": "419-626-6161",
"fax_number": "419-502-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 TYLER ST",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448703321",
"telephone_number": "419-557-7480",
"fax_number": "419-557-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNING",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "67925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2076757",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.