Active NPI
John Haubert
- Driver
- Massillon, OH
National Provider Identifier
1720560857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 765695
- Practice address
- 2828 Roanoke St NW
Massillon, OH 44646-2748 - Phone
- (330) 418-7557
- Fax
- (330) 775-7677
- NPI assigned
- Sep 5, 2018
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 765695 | OH | Primary |
Addresses
Primary practice location
2828 Roanoke St NW
Massillon, OH 44646-2748
Mailing address
2828 Roanoke St NW
Massillon, OH 44646-2748
Phone (330) 418-7557
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 |
|---|---|---|---|
| 765695 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1720560857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 ROANOKE ST NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462748",
"telephone_number": "330-418-7557",
"fax_number": "330-775-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 ROANOKE ST NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462748",
"telephone_number": "330-418-7557",
"fax_number": "330-775-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUBERT",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "765695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.