Active NPI
Joseph Holodnak
- Speech-Language Pathologist
- Hudson, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.12029
- Practice address
- 1414 Carriage Hill Dr
Hudson, OH 44236-4049 - Phone
- (440) 897-2484
- NPI assigned
- Sep 5, 2022
- Last updated
- Sep 5, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.12029 | OH | Primary |
Addresses
Primary practice location
1414 Carriage Hill Dr
Hudson, OH 44236-4049
Mailing address
1414 Carriage Hill Dr
Hudson, OH 44236-4049
Phone (440) 897-2484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 Barlow Rd
Hudson, OH 44236-3709
Phone (234) 284-8478
171 N Cleveland Massillon Rd
Akron, OH 44333-2422
Phone (234) 466-0160
3522 Commercial Dr
Fairlawn, OH 44333-5106
Phone (234) 466-7788
4303 Trueman Blvd
Hilliard, OH 43026-2631
Phone (614) 319-3305
528 Rothrock Rd
Copley, OH 44321-3132
Phone (330) 576-3496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.12029 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- West Chester, OH
- NPI 1174153266
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1205557659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 CARRIAGE HILL DR",
"city": "HUDSON",
"state": "OH",
"postal_code": "442364049",
"telephone_number": "440-897-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 CARRIAGE HILL DR",
"city": "HUDSON",
"state": "OH",
"postal_code": "442364049",
"telephone_number": "440-897-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLODNAK",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-05",
"last_updated": "2022-09-05",
"certification_date": "2022-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.12029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.