Individual provider Active NPI

John M Kovesdi Jr., DO

  • Occupational Medicine Physician
  • Norwalk, OH
National Provider Identifier
1891788220
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
34003097 Issued in OH
Practice address
368 Milan Ave
Norwalk, OH 44857-3106
Phone
(419) 663-6464
Fax
(419) 663-9881
NPI assigned
Aug 31, 2005
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3097 OH
Occupational Medicine Physician 2083X0100X 34003097 OH Primary

Addresses

Primary practice location

368 Milan Ave
Norwalk, OH 44857-3106

Mailing address

368 Milan Ave
Norwalk, OH 44857-3106
Phone (419) 663-6464

Other identifiers 1

IdentifierTypeStateIssuer
0448635MedicaidOH

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3097OHMDChiropractor
34003097OHMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Center Past Accepting new patients
County of Huron, Office of Auditor PastSince Nov 1, 2020 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d1e1772a-df16-459e-9e9d-ac11507ad967/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1891788220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 MILAN AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448573106",
            "telephone_number": "419-663-6464",
            "fax_number": "419-663-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 MILAN AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448573106",
            "telephone_number": "419-663-6464",
            "fax_number": "419-663-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVESDI",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "3097",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "34003097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.