Individual provider Active NPI

Irene Jarmoszuk, MD

  • Allergy & Immunology Physician
  • Lorain, OH
National Provider Identifier
1629030739
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35066305J Issued in OH
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

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0161042MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000821 OH Practitioner - Allergy/Immunology 9739377003 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066305JOHMDAllergy & 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

Verify at the official NPI Registry.