Individual provider Active NPI

Jason Andrew Levine, D.O.

  • Pediatrics Physician
  • Barberton, OH
National Provider Identifier
1437681160
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34.014411 Issued in OH
Practice address
566 Robinson Ave
Barberton, OH 44203-3652
Phone
(330) 753-0345
Fax
(330) 753-0194
NPI assigned
Mar 31, 2017
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Pediatrics Physician 208000000X 34.014411 OH Primary

Addresses

Primary practice location

566 Robinson Ave
Barberton, OH 44203-3652

Mailing address

566 Robinson Ave
Barberton, OH 44203-3652
Phone (330) 753-0345

Other practice location 1

1622 E Turkeyfoot Lake Rd Ste 100
Akron, OH 44312-5277
Phone (330) 899-5437

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jlevine104738@direct.chmca.org
Direct Messaging Address jlevine104738@direct.chmca.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811002141 OH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9739450560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Children's Hospital Current Accepting new patients
Children's Hospital Medical Center of Akron Past Accepting new patients
Pittsford Pediatrics Associates Pediatrics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1437681160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 ROBINSON AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033652",
            "telephone_number": "330-753-0345",
            "fax_number": "330-753-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 ROBINSON AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033652",
            "telephone_number": "330-753-0345",
            "fax_number": "330-753-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 E Turkeyfoot Lake Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443125277",
            "country_code": "US",
            "telephone_number": "330-899-5437",
            "fax_number": "330-899-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.014411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlevine104738@direct.chmca.org",
            "affiliation": "N",
            "address_1": "566 Robinson Ave",
            "city": "Barberton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442033652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlevine104738@direct.chmca.org",
            "affiliation": "N",
            "address_1": "1622 E Turkeyfoot Lake Rd Ste 100",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443125277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.