Individual provider Active NPI

Nathan Pozderac

  • Home Health Aide
  • Valley City, OH
National Provider Identifier
1902292303
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
6721 Grafton Rd
Valley City, OH 44280-9705
Phone
(330) 273-5494
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

6721 Grafton Rd
Valley City, OH 44280-9705

Mailing address

6721 Grafton Rd
Valley City, OH 44280-9705
Phone (330) 273-5494

Other identifiers 1

IdentifierTypeStateIssuer
0119312MedicaidOH

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1902292303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 GRAFTON RD",
            "city": "VALLEY CITY",
            "state": "OH",
            "postal_code": "442809705",
            "telephone_number": "330-273-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 GRAFTON RD",
            "city": "VALLEY CITY",
            "state": "OH",
            "postal_code": "442809705",
            "telephone_number": "330-273-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZDERAC",
        "first_name": "NATHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119312",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.