Active NPI
Daniel J. Mayer, M.D. Inc
- Ophthalmology Physician
- Medina, OH
National Provider Identifier
1942489620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 053557
- Legal business name
- DANIEL J. MAYER, M.D. INC
- Practice address
- 4067 N Jefferson St
Medina, OH 44256-5622 - Phone
- (330) 725-4174
- Fax
- (330) 725-4080
- NPI assigned
- Oct 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Mayer
- Title
- Manager
- Phone
- (330) 725-4174
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 053557 | OH | Primary |
Addresses
Primary practice location
4067 N Jefferson St
Medina, OH 44256-5622
Mailing address
4067 N Jefferson St
Medina, OH 44256-5622
Phone (330) 725-4174
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0628128 | Medicaid | OH | |
| CN7360 | Other | OH | RETIRED RAILROAD MEDICARE |
| 000000029208 | Other | OH | BCBS |
National Provider Directory
National Provider DirectoryLocations
4067 N Jefferson St
Medina, OH 44256
Phone (330) 725-4174
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Strongsville, OH
- NPI 1255390712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1942489620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4067 N JEFFERSON ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565622",
"telephone_number": "330-725-4174",
"fax_number": "330-725-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4067 N JEFFERSON ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565622",
"telephone_number": "330-725-4174",
"fax_number": "330-725-4080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL J. MAYER, M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "MAYER",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "330-725-4174"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "OH",
"license": "053557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0628128",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETIRED RAILROAD MEDICARE",
"identifier": "CN7360",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000029208",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.