Individual provider Active NPI

Jeffrey Robert Huth, M.D., PH.D.

  • Occupational Medicine Physician
  • Moraine, OH
National Provider Identifier
1780974980
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
35 122386 Issued in OH
Practice address
2023 Springboro W
Moraine, OH 45439-1665
Phone
(937) 297-3476
Fax
(937) 293-9982
NPI assigned
Apr 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 35 122386 OH Primary

Addresses

Primary practice location

2023 Springboro W
Moraine, OH 45439-1665

Mailing address

7823 Shadowhill Way
Cincinnati, OH 45242-3101
Phone (513) 587-9659

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140331002114 OH Order and Referring Only - General PracticePractitioner - General Practice 4183855398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35 122386OHMDOccupational Medicine Physician

Interoperability endpoints

  • Direct secure messaging: jhuth277124@direct.trihealth.com

NPI Registry JSON

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1780974980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7823 SHADOWHILL WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423101",
            "telephone_number": "513-587-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 SPRINGBORO W",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391665",
            "telephone_number": "937-297-3476",
            "fax_number": "937-293-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTH",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-10",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35 122386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

Verify at the official NPI Registry.