Joan Kerosky

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0275 Issued in OH

Practice address

170 Huntington TRL
Cortland, OH 44410-1600

Phone

(440) 997-3125

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ashtabula County Medical Center

  • Specialist
  • Ashtabula, OH
  • NPI 1942247143
  Medicare reassignment NPD
• Triad Health Services, LLC

  • Plastic Surgery Physician
  • Youngstown, OH
  • NPI 1588925457
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1114134400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HUNTINGTON TRAIL",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101600",
            "telephone_number": "440-997-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HUNTINGTON TRL",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101600",
            "telephone_number": "440-997-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEROSKY",
        "first_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "0275",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A0275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0960394",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Judeh, PHARM. D.
• Jamie Lynn Kamensky
• Thomas D Kaminski, MD
• Leonard H Kanterman, M.D.
• Tracy Jo Karlovec, LICENSED OPTICIAN
• Aleasa Marie King, FNP-BC
• Nathan Knight
• Rachel Knight, RN MSN
• Shelby Kolat, FNP-C
• Maria D Kowal, M.D.

• Audiologist in Cortland, OH
• Providers in Cortland, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.