Organization Active NPI

J Jeffery Cameron MD

  • Specialist
  • Chardon, OH
National Provider Identifier
1992052948
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35.051544 Issued in OH
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

Updated by the provider on Aug 9, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4231631OtherOHMEDICARE PROVIDER NUMBER
0702449MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0333831J Jeffery Cameron MD Inc13170 Ravenna Rd Suite #116, Chardon, OH 44024Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.