Active NPI
Kathleen C Jurell, MD
- Physical Medicine & Rehabilitation Physician
- Cincinnati, OH
National Provider Identifier
1174520571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 3564530
- Practice address
- 8271 Cornell Rd
Suite 730
Cincinnati, OH 45249 - Phone
- (513) 965-8041
- Fax
- (513) 965-8093
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 3564530 | OH | Primary |
Addresses
Primary practice location
8271 Cornell Rd
Suite 730
Cincinnati, OH 45249
Mailing address
PO Box 42878
Cincinnati, OH 45242-0878
Phone (513) 965-8041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0286720 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3564530 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Electrodiagnostic Medicine Inc | Physical Medicine & Rehabilitation | 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.
-
- Specialist
- Cincinnati, OH
- NPI 1679577365
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1174520571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42878",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452420878",
"telephone_number": "513-965-8041",
"fax_number": "513-965-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8271 CORNELL RD",
"address_2": "SUITE 730",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45249",
"telephone_number": "513-965-8041",
"fax_number": "513-965-8093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURELL",
"first_name": "KATHLEEN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "3564530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0286720",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.