Active NPI
Josh Bohn
- Sports Medicine (Emergency Medicine) Physician
- Oregon, OH
National Provider Identifier
1023637477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- AT004377
- Practice address
- 3225 Pickle Rd
Oregon, OH 43616-4026 - Phone
- (419) 693-0465
- NPI assigned
- Apr 15, 2020
- Last updated
- Apr 15, 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 |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | AT004377 | OH | Primary |
Addresses
Primary practice location
3225 Pickle Rd
Oregon, OH 43616-4026
Mailing address
542 East St
Pemberville, OH 43450-9694
Phone (419) 376-7297
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT004377 | OH | MD | Sports Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1023637477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 EAST ST",
"city": "PEMBERVILLE",
"state": "OH",
"postal_code": "434509694",
"telephone_number": "419-376-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 PICKLE RD",
"city": "OREGON",
"state": "OH",
"postal_code": "436164026",
"telephone_number": "419-693-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "JOSH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "OH",
"license": "AT004377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.