Active NPI
Thomas Edward Mirka
- Homemaker
- Ostrander, OH
National Provider Identifier
1487254165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 3000 Russell Rd
Ostrander, OH 43061-9406 - Phone
- (614) 563-2498
- NPI assigned
- Oct 30, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
3000 Russell Rd
Ostrander, OH 43061-9406
Mailing address
3000 Russell Rd
Ostrander, OH 43061-9406
Phone (614) 563-2498
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605398400000",
"number": "1487254165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 RUSSELL RD",
"city": "OSTRANDER",
"state": "OH",
"postal_code": "430619406",
"telephone_number": "614-563-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 RUSSELL RD",
"city": "OSTRANDER",
"state": "OH",
"postal_code": "430619406",
"telephone_number": "614-563-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRKA",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-30",
"last_updated": "2020-11-15",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ostrander, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.