Individual provider Active NPI

Barbara A Vonthron, NP

  • Family Nurse Practitioner
  • Port Clinton, OH
National Provider Identifier
1780680181
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP00894 Issued in OH
Practice address
3960 E Harbor Light LNDG
Port Clinton, OH 43452-3876
Phone
(419) 732-0700
Fax
(419) 732-0702
NPI assigned
Jun 22, 2005
Last updated
Feb 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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 NP00894 OH Primary

Addresses

Primary practice location

3960 E Harbor Light LNDG
Port Clinton, OH 43452-3876

Mailing address

1031 Pierce St
Suite D
Sandusky, OH 44870-4669
Phone (419) 557-5541

Other identifiers 1

IdentifierTypeStateIssuer
2505284MedicaidOH

Other names 1

  • Ms. Barbara A Good Former name

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
I20041006001502 OH Practitioner - Nurse Practitioner 1052370897 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP00894OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Mar 28, 2012 Accepting new patients
North Coast Professional Company, LLC CurrentSince Mar 28, 2012 Accepting new patients

Locations

3960 E Harbor Light Landing Dr
Port Clinton, OH 43452
Phone (419) 732-0700

3960 East Harbor Rd
Port Clinton, OH 43452
Phone (419) 557-5488

1031 Pierce St
Ste D
Sandusky, OH 44870

1912 Hayes Ave
Sandusky, OH 44870
Phone (419) 609-1460

1912 Hayes Ave
Ste D
Sandusky, OH 44870
Phone (419) 502-2832

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1780680181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE ST",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704669",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 E HARBOR LIGHT LNDG",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434523876",
            "telephone_number": "419-732-0700",
            "fax_number": "419-732-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONTHRON",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP00894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2505284",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "GOOD",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Clinton, OH

Sources for this page

Verify at the official NPI Registry.