Jonathan Ollennu

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

2906154 Issued in OH

Practice address

1628 Catalpa Rd
1628 Catalpa Rd
Cleveland, OH 44112-1007

Phone

(216) 324-9311

Fax

(216) 938-7983

NPI assigned

Jun 28, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1225489503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 CATALPA RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121007",
            "telephone_number": "216-324-9311",
            "fax_number": "216-938-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 CATALPA RD",
            "address_2": "1628 CATALPA RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121007",
            "telephone_number": "216-324-9311",
            "fax_number": "216-938-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLENNU",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "2906154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2906154",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalonde Oliver, QMHS CMS
• Tomeika S Oliver, LISW-S, LICDC
• Carlene Nichole Oliverio, PHARMD BCPS
• Quentin Andrew Noah Oliverio
• Ashley Olivo
• Christie Ollerton
• Evgeniya Ollis
• Jacqueline Ollison, SW-TRNE
• Lateisha Ollison
• Mitchell A Olman, MD

• Non-emergency Medical Transport (VAN) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.