Individual provider Active NPI

Jonie Myrstol Girouard, M.D.

  • Family Medicine Physician
  • Huntersville, NC
National Provider Identifier
1578507380
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33632 Issued in IA
Practice address
15806 Brookway Dr
Suite 400
Huntersville, NC 28078
Phone
(704) 766-1000
Fax
(704) 766-1002
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33632 IA Primary

Addresses

Primary practice location

15806 Brookway Dr
Suite 400
Huntersville, NC 28078

Mailing address

15806 Brookway Dr
Suite 400
Huntersville, NC 28078-3237
Phone (704) 766-1000

Other identifiers 4

IdentifierTypeStateIssuer
2210052MedicaidMT
314566OtherWYBCBS PIN
0157386OtherMTMDCD PIN
123496000OtherWYMDCD PIN

Other names 1

  • Dr. Jonie Myrstol Hines Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 1, 2015 through Feb 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33632IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Let'Sgetthinmd, LLC Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
Michael P Girouard, MD Weight Loss and Wellness Clinic, PLLC Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1578507380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15806 BROOKWAY DR",
            "address_2": "SUITE 400",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783237",
            "telephone_number": "704-766-1000",
            "fax_number": "704-766-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15806 BROOKWAY DR",
            "address_2": "SUITE 400",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-766-1000",
            "fax_number": "704-766-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIROUARD",
        "first_name": "JONIE",
        "middle_name": "MYRSTOL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "33632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210052",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "314566",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "0157386",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "123496000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONIE",
            "last_name": "HINES",
            "middle_name": "MYRSTOL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.