Individual provider Active NPI

Joel Thomas Hirschauer, STNA

  • Home Health Aide
  • Mount Orab, OH
National Provider Identifier
1003224163
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2875581 Issued in OH
Practice address
2679 Greenbush West Rd
Mount Orab, OH 45154-9206
Phone
(937) 441-8146
NPI assigned
Jul 31, 2014
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2875581 OH Primary

Addresses

Primary practice location

2679 Greenbush West Rd
Mount Orab, OH 45154-9206

Mailing address

2679 Greenbush West Rd
Mount Orab, OH 45154-9206
Phone (937) 441-8146

Other identifiers 1

IdentifierTypeStateIssuer
2875581MedicaidOH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2875581OHMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1003224163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2679 GREENBUSH WEST RD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549206",
            "telephone_number": "937-441-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 GREENBUSH WEST RD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549206",
            "telephone_number": "937-441-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHAUER",
        "first_name": "JOEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2875581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2875581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.