Individual
DR. JOHN R MERANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
167 W MAIN RD STE G, CONNEAUT, OH 44030-2057
(440) 599-8844
(440) 593-6014
Mailing address
167 W MAIN RD STE G, CONNEAUT, OH 44030-2057
(440) 599-8844
(440) 593-6014
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35049707
OH
207Q00000X
Family Medicine Physician
Primary
35-49707
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301814
ANTHEM
OH
05
—
0674533
—
OH
01
—
ME0615564
MEDICARE
OH
01
—
N420333
WELLCARE
OH
01
—
P00066338
RR MEDICARE
OH
Enumeration date
04/10/2006
Last updated
02/27/2012
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