Active NPI
Justin Tyler Zartman
- Adult Companion
- Millbury, OH
National Provider Identifier
1710728233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 27710 Bradner Rd
Millbury, OH 43447-9424 - Phone
- (419) 494-7368
- NPI assigned
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Adult Companion | 372600000X | Primary | ||
| Driver | 172A00000X | SB471077 | OH |
Addresses
Primary practice location
27710 Bradner Rd
Millbury, OH 43447-9424
Mailing address
27710 Bradner Rd
Millbury, OH 43447-9424
Phone (419) 494-7368
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SB471077 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1710728233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27710 BRADNER RD",
"city": "MILLBURY",
"state": "OH",
"postal_code": "434479424",
"telephone_number": "419-494-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27710 BRADNER RD",
"city": "MILLBURY",
"state": "OH",
"postal_code": "434479424",
"telephone_number": "419-494-7368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARTMAN",
"first_name": "JUSTIN",
"middle_name": "TYLER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "SB471077",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millbury, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.