Active NPI
John P Duarte
- Physician Assistant
- Wooster, OH
National Provider Identifier
1659964823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.00684RX
- Practice address
- 1761 Beall Ave
Wooster, OH 44691-2342 - Phone
- (330) 263-8428
- Fax
- (330) 263-8190
- NPI assigned
- Feb 18, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.00684RX | OH | Primary |
Addresses
Primary practice location
1761 Beall Ave
Wooster, OH 44691-2342
Mailing address
1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8428
Other practice location 1
3727 Friendsville Rd Unit 6
Wooster, OH 44691-7127
Phone (330) 263-8360
Other practice location 2
7488 Sr 241
Millersburg, OH 44654-4465
Phone (330) 287-5936
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.00684RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners Physician Group | Current | Accepting new patients | |
| Partners Physician Group | Current | Accepting new patients |
Locations
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100
Organizations & group practices 2
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.
-
- Surgery Physician
- Akron, OH
- NPI 1841239274
-
- Public Health & General Preventive Medicine Physician
- Akron, OH
- NPI 1164814414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1659964823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 BEALL AVE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912342",
"telephone_number": "330-263-8428",
"fax_number": "330-263-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 BEALL AVE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912342",
"telephone_number": "330-263-8428",
"fax_number": "330-263-8190"
}
],
"practiceLocations": [
{
"address_1": "3727 Friendsville Rd Unit 6",
"address_purpose": "LOCATION",
"city": "Wooster",
"state": "OH",
"postal_code": "446917127",
"country_code": "US",
"telephone_number": "330-263-8360",
"fax_number": "330-263-8361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7488 SR 241",
"address_purpose": "LOCATION",
"city": "Millersburg",
"state": "OH",
"postal_code": "446544465",
"country_code": "US",
"telephone_number": "330-287-5936",
"fax_number": "330-287-5937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUARTE",
"first_name": "JOHN",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.00684RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.