Individual provider Active NPI

Jill Kathleen Hosking, D.P.M.

  • Podiatrist
  • Lorain, OH
National Provider Identifier
1144216672
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003142 Issued in OH
Practice address
4751 Oberlin Ave
Suite 3
Lorain, OH 44053-3401
Phone
(440) 282-1312
Fax
(440) 282-1319
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003142 OH Primary

Addresses

Primary practice location

4751 Oberlin Ave
Suite 3
Lorain, OH 44053-3401

Mailing address

4751 Oberlin Ave Ste 3
Lorain, OH 44053-3401
Phone (440) 282-1312

Other identifiers 1

IdentifierTypeStateIssuer
2131491MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000211 OH Practitioner - Podiatry 9739203191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4751 Oberlin Ave
Suite 3
Lorain, OH 44053-3401
Phone (440) 282-1312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of skin lesions17
Removal of nail tissue1659
Removal or shaving of skin growth187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003142OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Podiatry Center, Inc. CurrentSince Mar 25, 2002 Accepting new patients

Locations

4751 Oberlin Ave
Ste 3
Lorain, OH 44053
Phone (440) 282-1312

Interoperability endpoints

  • Direct secure messaging: jhosking37125@ehrdirect.uhhospitals.org

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1144216672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 OBERLIN AVE STE 3",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533401",
            "telephone_number": "440-282-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 OBERLIN AVE",
            "address_2": "SUITE 3",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533401",
            "telephone_number": "440-282-1312",
            "fax_number": "440-282-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSKING",
        "first_name": "JILL",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2131491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.