Joel Michael Peddle

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN417788 Issued in OH

Practice address

9940 Oh-43
Streetsboro, OH 44241

Phone

(330) 626-1866

NPI assigned

Feb 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1598356479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 PORTER RD",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729781",
            "telephone_number": "330-325-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 OH-43",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44241",
            "telephone_number": "330-626-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDDLE",
        "first_name": "JOEL",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN417788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R'Reyonna Parker
• Sonya Marie Parker
• Partners Physician Group
• Emily Anne Paul, SLP-CFY
• Karen M. Paul
• Kaushik Ram Peram, DMD
• Anette A Peters
• Kristina Petraitis, AUD
• Steven Pirko
• Gregory Paul Plazek Sr.

• General Practice Registered Nurse in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• General Practice Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.