Nathaniel Joseph Puchala, IDHS

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

Erie Industrial Park BLDG 360
Port Clinton, OH 43452-9412

Phone

(419) 635-4462

NPI assigned

Dec 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1730775875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ERIE INDUSTRIAL PARK BLDG 360",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434529412",
            "telephone_number": "419-635-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ERIE INDUSTRIAL PARK BLDG 360",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434529412",
            "telephone_number": "419-635-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHALA",
        "first_name": "NATHANIEL",
        "middle_name": "JOSEPH",
        "credential": "IDHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MI",
            "license": "1573733",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Other Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.