Active NPI
Joann M Gottschling
- Durable Medical Equipment & Medical Supplies
- Mansfield, OH
National Provider Identifier
1124184361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371493170002 | Other | OH | MEDICAL MUTUAL |
| 000000340708 | Other | OH | BLUE CROSS BLUE SHIELD |
| 8297165 | Other | OH | UNITED HEALTH CARE |
| 2544125 | Medicaid | OH | |
| 82010 | Other | OH | NORTHWOOD NPN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gottschling Chiropractic Center, Inc. | Past | 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.
-
- Chiropractor
- Mansfield, OH
- NPI 1134318017
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.