Individual provider Active NPI

Sherwin Hamilton Syfox, LPN

  • Licensed Practical Nurse
  • Blacklick, OH
National Provider Identifier
1720354749
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 134659 Issued in OH
Practice address
7571 Pateo Pass Dr
Blacklick, OH 43004-6031
Phone
(614) 806-6654
NPI assigned
Mar 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 134659 OH Primary

Addresses

Primary practice location

7571 Pateo Pass Dr
Blacklick, OH 43004-6031

Mailing address

7571 Pateo Pass Dr
Blacklick, OH 43004-6031
Phone (614) 806-6654

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

LicenseStateTypeSpecialty
PN 134659OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1720354749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7571 PATEO PASS DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430046031",
            "telephone_number": "614-806-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7571 PATEO PASS DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430046031",
            "telephone_number": "614-806-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYFOX",
        "first_name": "SHERWIN",
        "middle_name": "HAMILTON",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 134659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacklick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.