Active NPI
Jodi Lynn Skrovan, M.A.,CCC/A
- Audiologist
- Dayton, OH
National Provider Identifier
1487279766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.01091
- Practice address
- 110 N Main St Ste 350
Dayton, OH 45402-3735 - Phone
- (937) 499-8263
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A.01091 | OH | Primary |
Addresses
Primary practice location
110 N Main St Ste 350
Dayton, OH 45402-3735
Mailing address
6724 Serrell LN
Dayton, OH 45424-8701
Phone (937) 707-8267
Other practice location 1
210 S Market St Ste A
Troy, OH 45373-4639
Phone (937) 308-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dayton | Direct | Premier Physician Network, 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.01091 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare, LLC | Past | Accepting new patients | |
| Upper Valley Hearing & Balance Inc | Past | Accepting new patients |
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.
-
- Audiologist-Hearing Aid Fitter
- Troy, OH
- NPI 1740489277
-
dba OnHealthcare NP
- Geriatric Medicine (Family Medicine) Physician
- Indianapolis, IN
- NPI 1528324225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1487279766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6724 SERRELL LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454248701",
"telephone_number": "937-707-8267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N MAIN ST STE 350",
"city": "DAYTON",
"state": "OH",
"postal_code": "454023735",
"telephone_number": "937-499-8263"
}
],
"practiceLocations": [
{
"address_1": "210 S Market St Ste A",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453734639",
"country_code": "US",
"telephone_number": "937-308-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKROVAN",
"first_name": "JODI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.A.,CCC/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-11",
"last_updated": "2023-11-27",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.01091",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dayton",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Premier Physician Network, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "110 N Main St Ste 350",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454023735",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.