Individual provider Active NPI

Jonathan D McKrell, MD

  • Family Medicine Physician
  • Beaver Falls, PA
National Provider Identifier
1487639217
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD054140L Issued in PA
Practice address
1125 7TH Ave
Beaver Falls, PA 15010-4426
Phone
(724) 773-8900
Fax
(724) 770-7947
NPI assigned
Dec 14, 2005
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD054140L PA Primary
Family Medicine Physician 207Q00000X 35.054629 OH
Sports Medicine (Family Medicine) Physician 207QS0010X MD054140L PA
Sports Medicine (Family Medicine) Physician 207QS0010X 35.054629 OH

Addresses

Primary practice location

1125 7TH Ave
Beaver Falls, PA 15010-4426

Mailing address

1125 7TH Ave
Beaver Falls, PA 15010-4426
Phone (724) 773-8900

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.054629OHMDSports Medicine (Family Medicine) Physician
MD054140LPAMDSports Medicine (Family Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: jonathanmckrell@hvhs.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1487639217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 7TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104426",
            "telephone_number": "724-773-8900",
            "fax_number": "724-770-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 7TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104426",
            "telephone_number": "724-773-8900",
            "fax_number": "724-770-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKRELL",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD054140L",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.054629",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD054140L",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.054629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.