Active NPI
Nicholas Jarmoszuk, M.D.
- Gastroenterology Physician
- Lorain, OH
National Provider Identifier
1255304374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 043326
- Practice address
- 3600 Kolbe Rd
Suite 206
Lorain, OH 44053-1654 - Phone
- (440) 282-1360
- Fax
- (440) 282-3562
- NPI assigned
- Feb 9, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 043326 | OH | Primary |
Addresses
Primary practice location
3600 Kolbe Rd
Suite 206
Lorain, OH 44053-1654
Mailing address
PO Box 636643
Cincinnati, OH 45263-6643
Phone (440) 989-3801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3025372 | Medicaid | OH | |
| 0399895 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1255304374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636643",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636643",
"telephone_number": "440-989-3801",
"fax_number": "440-960-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 KOLBE RD",
"address_2": "SUITE 206",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531654",
"telephone_number": "440-282-1360",
"fax_number": "440-282-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARMOSZUK",
"first_name": "NICHOLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "043326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3025372",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0399895",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.