Active NPI
Jill B Vosler
- Family Medicine Physician
- Eaton, OH
National Provider Identifier
1902089113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34004807
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289663054004 | Other | OH | MEDICAL MUTUAL |
| 0748472 | Medicaid | OH | |
| 2220960 | Other | OH | AETNA |
| 3043398 | Medicaid | OH | |
| 000000177350 | Other | OH | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Eaton, OH
- NPI 1790953255
-
- Family Nurse Practitioner
- Eaton, OH
- NPI 1306227244
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.