Individual provider Active NPI

Jeremy Fliehman, NP

  • Family Nurse Practitioner
  • Ironton, OH
National Provider Identifier
1760091516
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027056 Issued in OH
Practice address
2324 S 6TH St
Ironton, OH 45638-2547
Phone
(740) 534-2025
NPI assigned
Jul 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027056 OH Primary

Addresses

Primary practice location

2324 S 6TH St
Ironton, OH 45638-2547

Mailing address

2324 S 6TH St
Ironton, OH 45638-2547
Phone (740) 534-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930003354 OH Practitioner - Nurse Practitioner 7315366986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027056OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Emergency Physicians Ohio LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1760091516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 S 6TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382547",
            "telephone_number": "740-534-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 S 6TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382547",
            "telephone_number": "740-534-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIEHMAN",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.