Active NPI
Austin Bishop
- Preferred Provider Organization
- Deer Park, OH
National Provider Identifier
1013532746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Practice address
- 4271 Glenway Ave
Deer Park, OH 45236-3631 - Phone
- (513) 310-9191
- NPI assigned
- Jun 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Primary |
Addresses
Primary practice location
4271 Glenway Ave
Deer Park, OH 45236-3631
Mailing address
4271 Glenway Ave
Deer Park, OH 45236-3631
Phone (513) 310-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0402261 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bishopa7@xavier.edu | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1013532746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4271 GLENWAY AVE",
"city": "DEER PARK",
"state": "OH",
"postal_code": "452363631",
"telephone_number": "513-310-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4271 GLENWAY AVE",
"city": "DEER PARK",
"state": "OH",
"postal_code": "452363631",
"telephone_number": "513-310-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "AUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0402261",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bishopa7@xavier.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4271 Glenway Ave",
"city": "Deer Park",
"state": "OH",
"country_code": "US",
"postal_code": "452363631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Deer Park, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.