Individual provider Active NPI

Jonathan King

  • Family Nurse Practitioner
  • Millersburg, OH
National Provider Identifier
1508218785
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019516 Issued in OH
Practice address
151 Parkview Dr
Millersburg, OH 44654-8949
Phone
(330) 674-1200
NPI assigned
Jul 12, 2016
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 351521 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.019516 OH Primary

Addresses

Primary practice location

151 Parkview Dr
Millersburg, OH 44654-8949

Mailing address

110 Dublin Dr
Ste B
Dover, OH 44622-7805
Phone (330) 343-0753

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013002661 OH Practitioner - Nurse Practitioner 7214225895 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

110 Dublin Dr
Dover, OH 44622-7805
Phone (330) 364-9088

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

3255 Levis Commons Blvd
Perrysburg, OH 43551-7145
Phone (419) 874-0393

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
351521OHMDRegistered Nurse
APRN.CNP.019516OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Obstetrics & Gynecology Inc CurrentSince Aug 2, 2016 Accepting new patients
Wooster Clinic, LLC CurrentSince Jun 17, 2017 Accepting new patients
Union Physician Services, LLC CurrentSince Oct 30, 2023 Accepting new patients
Mobile Medical, Inc. Family CurrentSince Aug 13, 2018 Accepting new patients
Mobile Medical, Inc. CurrentSince Aug 13, 2018 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 26, 2017 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

135 Merchant St
Ste 270
Cincinnati, OH 45246
Phone (513) 771-7483

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

110 Dublin Dr
Dover, OH 44622
Phone (330) 340-8038

110 Dublin Dr
#B
Dover, OH 44622
Phone (330) 343-0753

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

151 Parkview Dr
Millersburg, OH 44654
Phone (330) 674-1200

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: jonathan.king.p19@direct.360care.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1508218785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DUBLIN DR",
            "address_2": "STE B",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446227805",
            "telephone_number": "330-343-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 PARKVIEW DR",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548949",
            "telephone_number": "330-674-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "351521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

Verify at the official NPI Registry.