Organization Active NPI

Dr. Michael J Jurenovich, D.O., PC

  • Durable Medical Equipment & Medical Supplies
  • Niles, OH
National Provider Identifier
1902250558
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DR. MICHAEL J JURENOVICH, D.O., PC
Practice address
654 Youngstown Warren Rd
Niles, OH 44446-4356
Phone
(330) 544-5782
Fax
(330) 505-2286
NPI assigned
Apr 20, 2016
Organization subpart
Yes
Parent organization
DR. MICHAEL J JURENOVICH, D.O., PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Kathy Jayne Adams
Title
Clinic Assistant / Office Assistant
Phone
(724) 813-5611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

654 Youngstown Warren Rd
Niles, OH 44446-4356

Mailing address

59 W Main St
Greenville, PA 16125-2449
Phone (724) 588-4805

National Provider Directory

National Provider Directory
Part of
James Kohlmyer PA

Locations

654 Youngstown Warren Rd
Niles, OH 44446
Phone (330) 544-3636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1902250558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 W MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252449",
            "telephone_number": "724-588-4805",
            "fax_number": "724-588-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 YOUNGSTOWN WARREN RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464356",
            "telephone_number": "330-544-5782",
            "fax_number": "330-505-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL J JURENOVICH, D.O., PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. MICHAEL J JURENOVICH, D.O., PC",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "CLINIC ASSISTANT / OFFICE ASSISTANT",
        "authorized_official_telephone_number": "724-813-5611"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.