Active NPI
Jason T Ohr, M.D.
- Specialist
- Council Bluffs, IA
National Provider Identifier
1902908544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 26933
- Practice address
- 800 Mercy Dr
Suite 110
Council Bluffs, IA 51503-3128 - Phone
- (712) 328-5350
- Fax
- (712) 328-5354
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 26933 | IA | Primary |
Addresses
Primary practice location
800 Mercy Dr
Suite 110
Council Bluffs, IA 51503-3128
Mailing address
800 Mercy Dr
Suite 110
Council Bluffs, IA 51503-3128
Phone (712) 328-5350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2274787 | Medicaid | IA |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Neurology PC | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Council Bluffs, IA
- NPI 1952458697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1902908544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MERCY DR",
"address_2": "SUITE 110",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515033128",
"telephone_number": "712-328-5350",
"fax_number": "712-328-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MERCY DR",
"address_2": "SUITE 110",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515033128",
"telephone_number": "712-328-5350",
"fax_number": "712-328-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHR",
"first_name": "JASON",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IA",
"license": "26933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2274787",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.