Active NPI
Jeffrey D Resch, D.O.
- Internal Medicine Physician
- Youngstown, OH
National Provider Identifier
1902830573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34003213
- Practice address
- 20 Ohltown Rd
Youngstown, OH 44515-2331 - Phone
- (330) 797-9705
- Fax
- (330) 270-5997
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34003213 | OH | Primary |
Addresses
Primary practice location
20 Ohltown Rd
Youngstown, OH 44515-2331
Mailing address
20 Ohltown Rd
Youngstown, OH 44515-2331
Phone (330) 797-9705
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000243208 | Other | OH | ANTHEM BC/BS |
| 402908 | Other | OH | UNITED HEALTHCARE |
| Z03213 | Other | OH | SUMMACARE |
| Q003974 | Other | OH | HOMETOWN |
| 78910 | Other | OH | HEALTH ASSURANCE |
| 0631614 | Medicaid | OH | |
| 341341025043 | Other | OH | CARESOURCE |
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, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3213 | OH | MD | Chiropractor |
| 34003213 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208649600000",
"number": "1902830573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OHLTOWN RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445152331",
"telephone_number": "330-797-9705",
"fax_number": "330-270-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OHLTOWN RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445152331",
"telephone_number": "330-797-9705",
"fax_number": "330-270-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESCH",
"first_name": "JEFFREY",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2008-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34003213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000243208",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "402908",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "Z03213",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMETOWN",
"identifier": "Q003974",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "78910",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0631614",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341341025043",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.