Organization Active NPI

Jill B Vosler

  • Family Medicine Physician
  • Eaton, OH
National Provider Identifier
1902089113
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34004807 Issued in OH
Legal business name
JILL B VOSLER
Practice address
450B Washington Jackson Rd
Suite 105
Eaton, OH 45320-7600
Phone
(937) 456-8350
Fax
(937) 456-8351
NPI assigned
Dec 11, 2007
Last updated
Dec 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Katrina L Tyler
Title
Office Manager
Phone
(937) 456-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34004807 OH Primary

Addresses

Primary practice location

450B Washington Jackson Rd
Suite 105
Eaton, OH 45320-7600

Mailing address

450B Washington Jackson Rd
Suite 105
Eaton, OH 45320-7600
Phone (937) 456-8350

Other identifiers 5

IdentifierTypeStateIssuer
289663054004OtherOHMEDICAL MUTUAL
0748472MedicaidOH
2220960OtherOHAETNA
3043398MedicaidOH
000000177350OtherOHANTHEM

National Provider Directory

National Provider Directory

Locations

450B Washington Jackson Rd
Ste 105
Eaton, OH 45320
Phone (937) 456-8300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1902089113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD",
            "address_2": "SUITE 105",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207600",
            "telephone_number": "937-456-8350",
            "fax_number": "937-456-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD",
            "address_2": "SUITE 105",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207600",
            "telephone_number": "937-456-8350",
            "fax_number": "937-456-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL B VOSLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-456-8350"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "289663054004",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0748472",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2220960",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043398",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000177350",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.