Jed E Kohne, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50002151 Issued in OH

Practice address

123 Hamilton St
Celina, OH 45822-1909

Phone

(419) 586-5760

Fax

(419) 586-1257

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JTDM Family Practice LLCGroup PAC ID 2163415837, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032

Merit-based Incentive Payment System (MIPS)

Final score

85.44 of 100Reported as group

Quality

78

Promoting interoperability

96

Improvement activities

40

Cost

76.79

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jed.kohne@koci-oh.direct.office.nextgen.com

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.

• JTDM Family Practice LLC

  • Family Medicine Physician
  • St Marys, OH
  • NPI 1184652539

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Joint Township District Memorial Hospital

  • General Acute Care Hospital
  • Saint Marys, OH
  • NPI 1639133002
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Orthopaedic Institute of Ohio, Inc.

  • Orthopaedic Surgery Physician
  • Bucyrus, OH
  • NPI 1013897586
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Joint Township District Memorial Hospital

  • General Acute Care Hospital
  • Saint Marys, OH
  • NPI 1639133002
  Care Compare affiliation

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1952394348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S KNOXVILLE AVE STE D",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852609",
            "telephone_number": "419-300-1129",
            "fax_number": "419-586-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HAMILTON ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221909",
            "telephone_number": "419-586-5760",
            "fax_number": "419-586-1257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Fox Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Van Wert",
            "state": "OH",
            "postal_code": "458912492",
            "country_code": "US",
            "telephone_number": "419-628-3821",
            "fax_number": "419-238-0424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHNE",
        "first_name": "JED",
        "middle_name": "E",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1184652539",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "0105065",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216503",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "34-1689161",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "9934723",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H546170",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jed.kohne@KOCI-OH.direct.office.nextgen.com",
            "affiliation": "Y",
            "affiliationName": "JTDM Family Practice LLC",
            "address_1": "123 Hamilton St",
            "city": "Celina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458221909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jed.kohne@KOCI-OH.direct.office.nextgen.com",
            "affiliation": "Y",
            "affiliationName": "JTDM Family Practice LLC",
            "address_1": "140 Fox Rd Ste 209",
            "city": "Van Wert",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458912492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jedkohne@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "123 Hamilton St",
            "city": "Celina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458221909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jedkohne@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "140 Fox Rd Ste 209",
            "city": "Van Wert",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458912492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isabella Grace Klausing
• Keith Robert Kleman
• Ashley Renee Knepper, SWA
• Kendra Janelle Koesters, OTR/L
• Karla Kohler
• Megan Krebs, O.D.
• Cory Krick
• Julie Krieg
• Aaron D. Kuhn, LPCC-S
• Kelly J Kunkler, R.N.,M.S.N.,A.P.R.N.

• Physician Assistant in Celina, OH
• Providers in Celina, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.