John F Kissinger

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

M5709684 Issued in OH

Practice address

1151 Croyden Dr
Dayton, OH 45420-2273

Phone

(937) 361-4473

NPI assigned

Nov 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1033711999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 CROYDEN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454202273",
            "telephone_number": "937-361-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 CROYDEN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454202273",
            "telephone_number": "937-361-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSINGER",
        "first_name": "JOHN",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "M5709684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2919828",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Charles Kirkwood, M.D.
• Karen Elaine Kirpaul, DPM
• David Louis Kirschman, MD
• Bertha Renee Kirwan, FNP, MSN
• Annika Frances Kisha, MD
• Laura Kitchel
• Shelby Autumn Kitchin, MD
• Melissa Ruth Kite, PA-C
• Deandra Sheree Kitt
• Noah Gene Kittrell

• In Home Supportive Care Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.