Individual provider Active NPI

Joann M Gottschling

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, OH
National Provider Identifier
1124184361
Registry record updated Feb 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
605 S Trimble Rd Ste a
Mansfield, OH 44906-4112
Phone
(419) 756-0766
Fax
(419) 756-4381
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

605 S Trimble Rd Ste a
Mansfield, OH 44906-4112

Mailing address

605 S Trimble Rd Ste a
Mansfield, OH 44906-4112
Phone (419) 756-0766

Other identifiers 5

IdentifierTypeStateIssuer
371493170002OtherOHMEDICAL MUTUAL
000000340708OtherOHBLUE CROSS BLUE SHIELD
8297165OtherOHUNITED HEALTH CARE
2544125MedicaidOH
82010OtherOHNORTHWOOD NPN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930047878 OH DME Supplier - Medical Supply Company 5890905913 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mansfield, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gottschling Chiropractic Center, Inc. PastSince Jan 1, 1996 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202515200000",
    "number": "1124184361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD STE A",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064112",
            "telephone_number": "419-756-0766",
            "fax_number": "419-756-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD STE A",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064112",
            "telephone_number": "419-756-0766",
            "fax_number": "419-756-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHLING",
        "first_name": "JOANN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2008-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "371493170002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000340708",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "8297165",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544125",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD NPN",
            "identifier": "82010",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; 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.