Organization Active NPI

Matthew J Doerschuk

  • Public Health or Welfare Agency
  • Lisbon, OH
National Provider Identifier
1831607928
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MATTHEW J DOERSCHUK
Practice address
9526 Freeman Rd
Lisbon, OH 44432-9759
Phone
(330) 268-7502
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Matthew J Doerschuk
Title
Owner
Phone
(330) 268-7502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

9526 Freeman Rd
Lisbon, OH 44432-9759

Mailing address

9526 Freeman Rd
Lisbon, OH 44432-9759
Phone (330) 268-7502

Other names 1

  • Doerschuk Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1831607928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 FREEMAN RD",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329759",
            "telephone_number": "330-268-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9526 FREEMAN RD",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329759",
            "telephone_number": "330-268-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J DOERSCHUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "DOERSCHUK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-268-7502"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doerschuk Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.