Active NPI
Joann E Rider, AUDIOLOGIST
- Audiologist
- Lima, OH
National Provider Identifier
1255488227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-01257
- Practice address
- 770 W High St
Suite 460
Lima, OH 45801-3990 - Phone
- (419) 226-4300
- Fax
- (419) 226-4305
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-01257 | OH | Primary |
Addresses
Primary practice location
770 W High St
Suite 460
Lima, OH 45801-3990
Mailing address
PO Box 636930
Cincinnati, OH 45263-0001
Phone (513) 981-5123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000292241 | Other | OH | ANTHEM BLUE CROSS |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-01257 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima, LLC | Past | Accepting new patients |
Interoperability endpoints
- jrider48807@direct.bsmhealth.org
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.
-
- Family Medicine Physician
- Lima, OH
- NPI 1225292865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1255488227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636930",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001",
"telephone_number": "513-981-5123",
"fax_number": "513-981-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 W HIGH ST",
"address_2": "SUITE 460",
"city": "LIMA",
"state": "OH",
"postal_code": "458013990",
"telephone_number": "419-226-4300",
"fax_number": "419-226-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "JOANN",
"middle_name": "E",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A-01257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000292241",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.