Active NPI
Chase Strader
- Peer Specialist
- Marion, OH
National Provider Identifier
1396401121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 0002810
- Practice address
- 827 N Main St
Marion, OH 43302-1736 - Phone
- (740) 914-5000
- NPI assigned
- Nov 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 0002810 | OH | Primary |
Addresses
Primary practice location
827 N Main St
Marion, OH 43302-1736
Mailing address
4885 Stetzer Rd
Bucyrus, OH 44820-8863
Phone (419) 563-5614
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chase@northernamericanfire.com | Day One Integrative Services LLC. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002810 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1396401121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4885 STETZER RD",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448208863",
"telephone_number": "419-563-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 N MAIN ST",
"city": "MARION",
"state": "OH",
"postal_code": "433021736",
"telephone_number": "740-914-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRADER",
"first_name": "CHASE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-16",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "0002810",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chase@northernamericanfire.com",
"affiliation": "Y",
"affiliationName": "Day One Integrative Services LLC.",
"address_1": "827 N Main St",
"city": "Marion",
"state": "OH",
"country_code": "US",
"postal_code": "433021736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.