Active NPI
Irene Jarmoszuk, MD
- Allergy & Immunology Physician
- Lorain, OH
National Provider Identifier
1629030739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 35066305J
- Practice address
- 3600 Kolbe Rd
Suite 206
Lorain, OH 44053-1652 - Phone
- (440) 282-8001
- Fax
- (440) 282-3562
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 35066305J | OH | Primary |
Addresses
Primary practice location
3600 Kolbe Rd
Suite 206
Lorain, OH 44053-1652
Mailing address
3600 Kolbe Rd
Suite 206
Lorain, OH 44053-1652
Phone (440) 282-8001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0161042 | Medicaid | OH |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35066305J | OH | MD | Allergy & Immunology Physician |
Organizations & group practices 1
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": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1629030739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 KOLBE RD",
"address_2": "SUITE 206",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531652",
"telephone_number": "440-282-8001",
"fax_number": "440-282-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 KOLBE RD",
"address_2": "SUITE 206",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531652",
"telephone_number": "440-282-8001",
"fax_number": "440-282-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARMOSZUK",
"first_name": "IRENE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OH",
"license": "35066305J",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0161042",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.