Jasper Byrd III

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Practice address

1345 Red Bush LN
Macedonia, OH 44056-2427

Phone

(216) 212-7568

NPI assigned

Mar 16, 2023

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1669173589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RED BUSH LN",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562427",
            "telephone_number": "216-212-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 RED BUSH LN",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562427",
            "telephone_number": "216-212-7568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24085 Shurmer Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441284938",
            "country_code": "US",
            "telephone_number": "216-212-7568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JASPER",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee J Broze, CNP
• Michael Brumfield
• Sefton M Bryant
• Rosanne Marie Brynak, RN
• Andrea M Busse, M.A., CCC-SLP
• Monica Lynn Cales, DO
• Juliana Pabon Carrus, CCC-SLP
• Keshia Chambers
• Ike Childress
• Emily Waler Cihon

• Preferred Provider Organization in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.