Jensen Sirofchuck

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

20211875-SP Issued in OH

Practice address

2570 Technical Dr
Miamisburg, OH 45342-6107

Phone

(937) 847-8750

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1164192043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 TECHNICAL DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 TECHNICAL DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426107",
            "telephone_number": "937-847-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROFCHUCK",
        "first_name": "JENSEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "20211875-SP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452342",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Elizabeth Shumate, LPN
• Rizwan Siddiqui
• Shuaib Ansar Siddiqui, MD
• Renae Simons, DO
• Ashley Singer
• Korei Skeen, PMH-NP
• Heather Marie Skomrock, PHARMD
• Sarah Maria Slaton, NP
• Tracey J Slattery
• Emiliee Dawn Slone

• Speech-Language Pathologist in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.