Active NPI
J Jeffery Cameron MD
- Specialist
- Chardon, OH
National Provider Identifier
1992052948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35.051544
- Legal business name
- J JEFFERY CAMERON MD
- Practice address
- 13170 Ravenna Rd
Suite 116
Chardon, OH 44024-7025 - Phone
- (440) 285-0828
- Fax
- (440) 285-8023
- NPI assigned
- Aug 9, 2012
- 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
- Dr. J Jeffery Cameron, M.D.
- Title
- Doctor
- Phone
- (440) 285-0828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35.051544 | OH | Primary |
Addresses
Primary practice location
13170 Ravenna Rd
Suite 116
Chardon, OH 44024-7025
Mailing address
13170 Ravenna Rd
Suite 116
Chardon, OH 44024-7025
Phone (440) 285-0828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4231631 | Other | OH | MEDICARE PROVIDER NUMBER |
| 0702449 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0333831 | J Jeffery Cameron MD Inc | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Chardon, OH
- NPI 1396761359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344470400000",
"number": "1992052948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13170 RAVENNA RD",
"address_2": "SUITE 116",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247025",
"telephone_number": "440-285-0828",
"fax_number": "440-285-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13170 RAVENNA RD",
"address_2": "SUITE 116",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247025",
"telephone_number": "440-285-0828",
"fax_number": "440-285-8023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J JEFFERY CAMERON MD",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A",
"authorized_official_last_name": "CAMERON",
"authorized_official_first_name": "J",
"authorized_official_middle_name": "JEFFERY",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "440-285-0828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OH",
"license": "35.051544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "4231631",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0702449",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.