Active NPI
Jonathan Brent Orth
- Community Health Worker
- Watson, IL
National Provider Identifier
1669008157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 5118 N 1350TH St
Watson, IL 62473-2271 - Phone
- (404) 783-2146
- NPI assigned
- Mar 17, 2020
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
5118 N 1350TH St
Watson, IL 62473-2271
Mailing address
5118 N 1350TH St
Watson, IL 62473-2271
Phone (404) 783-2146
Other practice location 1
556 N Airport Rd
Murphysboro, IL 62966-6003
Phone (618) 549-0721 ext. 68640
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jonathan.orth@sih.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1669008157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5118 N 1350TH ST",
"city": "WATSON",
"state": "IL",
"postal_code": "624732271",
"telephone_number": "404-783-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5118 N 1350TH ST",
"city": "WATSON",
"state": "IL",
"postal_code": "624732271",
"telephone_number": "404-783-2146"
}
],
"practiceLocations": [
{
"address_1": "556 N Airport Rd",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629666003",
"country_code": "US",
"telephone_number": "618-549-0721 x68640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTH",
"first_name": "JONATHAN",
"middle_name": "BRENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jonathan.orth@sih.net",
"affiliation": "N",
"address_1": "556 N Airport Rd",
"city": "Murphysboro",
"state": "IL",
"country_code": "US",
"postal_code": "629666003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Watson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.