Jay Esber
Individual provider Active NPI Peer Specialist · Rootstown, OH
NPI 1194491373 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1194491373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 3975 Kenneth Dr
Rootstown, OH 44272-9252 - Phone
- (330) 850-5141
- NPI assigned
- Aug 18, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Village LLC | Current |
Accepting new patients | |
| Hope Village LLC | Past |
Accepting new patients |
Locations
3975 Kenneth Dr
Rootstown, OH 44272
Phone (330) 261-5009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
3975 Kenneth Dr
Rootstown, OH 44272-9252
Mailing address
3975 Kenneth Dr
Rootstown, OH 44272-9252
Other providers in Rootstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.