Sorav Jethi

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

5976 Howdershell Rd
Suite 113
Hazelwood, MO 63042-4108

Phone

(314) 895-1800

Fax

(314) 895-1804

NPI assigned

Mar 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1144680919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13168 BELLERIVE FARM DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416098",
            "telephone_number": "314-541-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 HOWDERSHELL RD",
            "address_2": "SUITE 113",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630424108",
            "telephone_number": "314-895-1800",
            "fax_number": "314-895-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETHI",
        "first_name": "SORAV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda James, LCSW
• Janelle Stowers
• Thomas Wayne Jasper, O.D.
• Ashley Jenkins, LAT, ATC
• Angel Jennings
• Ravi S Johar, M.D.
• Emily J Johnson, D.D.S.
• Faye E Johnson
• Keri P Johnson, MD
• Tara K Johnson

• Home Health Aide in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.