Active NPI
Tom W Kontra, RN
- Home Health Registered Nurse
- Brunswick, OH
National Provider Identifier
1376758060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN431068
- Practice address
- 1950 Byron Dr
Brunswick, OH 44212-4002 - Phone
- (216) 244-4003
- NPI assigned
- May 14, 2007
- Last updated
- Sep 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN431068 | OH | |
| Home Health Registered Nurse | 163WH0200X | RN431068 | OH | Primary |
Addresses
Primary practice location
1950 Byron Dr
Brunswick, OH 44212-4002
Mailing address
1950 Byron Dr
Brunswick, OH 44212-4002
Phone (216) 244-4003
Other practice location 1
1757 Hanover St
Cuyahoga Falls, OH 44221-4255
Phone (330) 532-8199
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN431068 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1376758060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 BYRON DR",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442124002",
"telephone_number": "216-244-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 BYRON DR",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442124002",
"telephone_number": "216-244-4003"
}
],
"practiceLocations": [
{
"address_1": "1757 Hanover St",
"address_purpose": "LOCATION",
"city": "Cuyahoga Falls",
"state": "OH",
"postal_code": "442214255",
"country_code": "US",
"telephone_number": "330-532-8199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONTRA",
"first_name": "TOM",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN431068",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "RN431068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.