NPIMap

Individual provider Active NPI

Jason K Durose, PAC

  • Physician Assistant
  • Hillsboro, OH
National Provider Identifier
1639119761
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001412 Issued in OH
Practice address
1275 N High St
Hillsboro, OH 45133-8273
Phone
(937) 393-6100
Fax
(937) 393-6333
NPI assigned
Jun 7, 2006
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001412 OH Primary
Emergency Medicine Physician 207P00000X 51990569 OH

Addresses

Primary practice location

1275 N High St
Hillsboro, OH 45133-8273

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040227000375 OH Practitioner - Physician Assistant 4082500707 Reassigns benefits to 8 organizations
I20260410002092 KY Practitioner - Physician Assistant 4082500707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Ohio, Inc.Group PAC ID 6103997747, 33 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-7000

989 Medical Park Dr
Maysville, KY 41056-8750
Phone (606) 759-3114

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51990569OHMDEmergency Medicine Physician
50001412OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Jan 5, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Bobcat Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Highland Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Hocking Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

269 Portland Way S
Galion, OH 44833
Phone (419) 462-4547

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

101 S Orange St
Xenia, OH 45385
Phone (937) 271-0066

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1639119761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338273",
            "telephone_number": "937-393-6100",
            "fax_number": "937-393-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROSE",
        "first_name": "JASON",
        "middle_name": "K",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001412",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "51990569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.