Individual provider Active NPI

Ryan Oberholtzer

  • Hearing Instrument Specialist
  • Hanover, PA
National Provider Identifier
1356840573
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Practice address
1 E Walnut St
Hanover, PA 17331-3160
Phone
(717) 632-5558
NPI assigned
Feb 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X
Hearing Instrument Specialist 237700000X Primary

Addresses

Primary practice location

1 E Walnut St
Hanover, PA 17331-3160

Mailing address

1 E Walnut St
Hanover, PA 17331-3160
Phone (717) 632-5558

Other practice location 1

2030 Thistle Hill Dr
Spring Grove, PA 17362-1159
Phone (717) 739-8340

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jmdlad Inc. Current Accepting new patients
Jmdlad Inc. Optician Current Accepting new patients

Locations

1 E Walnut St
Hanover, PA 17331
Phone (717) 632-5558

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1356840573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E WALNUT ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313160",
            "telephone_number": "717-632-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E WALNUT ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313160",
            "telephone_number": "717-632-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Thistle Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Grove",
            "state": "PA",
            "postal_code": "173621159",
            "country_code": "US",
            "telephone_number": "717-739-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERHOLTZER",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.