Jamie Doak

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

4247 Dudley Rd
Mantua, OH 44255-9475

Phone

(330) 235-3353

NPI assigned

Oct 5, 2023

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Tree City Cleaners

  • Chore Provider
  • Mantua, OH
  • NPI 1164204855
  NPD Authorized official

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1154101251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442550852",
            "telephone_number": "330-235-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 DUDLEY RD",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559475",
            "telephone_number": "330-235-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAK",
        "first_name": "JAMIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Cummings
• Sky Hannah Dean, MD
• Jeffrey Derthick
• Claire Michaela Devonshire, OTR/L
• Kristin Dittebrand
• Emily Dobias
• Jaime Domzalski, CT
• Jennifer Dupan, PT
• Ellerhorst Dental, LLC
• Elaine Elliott, MOT, OTR/L

• Chore Provider in Mantua, OH
• Providers in Mantua, OH by specialty
• Chore Provider in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.