Active NPI
Robert A Ehrhard, MD
- Otolaryngology Physician
- Jasper, IN
National Provider Identifier
1881784791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01058606A
- Practice address
- 251 S Truman Rd
Jasper, IN 47546-9768 - Phone
- (812) 634-6700
- Fax
- (812) 634-6712
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01058606A | IN | Primary |
Addresses
Primary practice location
251 S Truman Rd
Jasper, IN 47546-9768
Mailing address
251 S Truman Rd
Jasper, IN 47546-9768
Phone (812) 634-6700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00217186 | Other | IN | RAILROAD MEDICARE |
| 200475490A | Medicaid | IN | |
| 841654018 | Other | IN | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01058606A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Otolaryngology | Current | Accepting new patients |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients |
Locations
251 S Truman Rd
Jasper, IN 47546
Phone (812) 634-6700
721 W 13th St
Ste 325
Jasper, IN 47546
Phone (812) 634-6700
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Huntingburg, IN
- NPI 1114120128
-
- Otolaryngology Physician
- Jasper, IN
- NPI 1316440530
-
- Pain Medicine Physician
- Jasper, IN
- NPI 1457164543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1881784791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 S TRUMAN RD",
"city": "JASPER",
"state": "IN",
"postal_code": "475469768",
"telephone_number": "812-634-6700",
"fax_number": "812-634-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 S TRUMAN RD",
"city": "JASPER",
"state": "IN",
"postal_code": "475469768",
"telephone_number": "812-634-6700",
"fax_number": "812-634-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRHARD",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01058606A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00217186",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200475490A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "841654018",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.