Individual provider Active NPI

Robert A Ehrhard, MD

  • Otolaryngology Physician
  • Jasper, IN
National Provider Identifier
1881784791
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01058606A Issued in IN
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

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00217186OtherINRAILROAD MEDICARE
200475490AMedicaidIN
841654018OtherINTAX 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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058606AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc CurrentSince May 25, 2023 Accepting new patients
Deaconess Memorial Medical Center Inc Otolaryngology CurrentSince May 25, 2023 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.

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

Verify at the official NPI Registry.