Individual provider Active NPI

Joseph Paul Hall Casedonte

  • Athletic Trainer
  • Granville, OH
National Provider Identifier
1881253227
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
100 W College St
Granville, OH 43023-1100
Phone
(740) 587-6694
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

100 W College St
Granville, OH 43023-1100

Mailing address

23456 Mastick Rd
North Olmsted, OH 44070-3713
Phone (440) 799-9611

Other practice location 1

707 Mount Cross Rd
Danville, VA 24540-5905
Phone (440) 799-9611

Other practice location 2

5220 Samet Dr Apt 3F
High Point, NC 27265-3531
Phone (440) 799-9611

Other practice location 3

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680912000000",
    "number": "1881253227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 MASTICK RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703713",
            "telephone_number": "440-799-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W COLLEGE ST",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231100",
            "telephone_number": "740-587-6694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Mount Cross Rd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245405905",
            "country_code": "US",
            "telephone_number": "440-799-9611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5220 Samet Dr Apt 3F",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272653531",
            "country_code": "US",
            "telephone_number": "440-799-9611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEDONTE",
        "first_name": "JOSEPH",
        "middle_name": "PAUL HALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.