Individual provider Active NPI

Brian K Jolitz, DO

  • Obstetrics & Gynecology Physician
  • Hillsboro, OH
National Provider Identifier
1972595890
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34004061 Issued in OH
Practice address
938 W Main St
Suite 2
Hillsboro, OH 45133-7484
Phone
(937) 393-4390
Fax
(937) 393-4640
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34004061 OH Primary

Addresses

Primary practice location

938 W Main St
Suite 2
Hillsboro, OH 45133-7484

Mailing address

938 W Main St
Suite 2
Hillsboro, OH 45133-7484
Phone (937) 393-4390

Other identifiers 2

IdentifierTypeStateIssuer
0623089MedicaidOH
P00665499OtherOHMEDICARE RR

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

State licenses

LicenseStateTypeSpecialty
4061OHMDChiropractor
34004061OHMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: brianjolitz@hhproviders.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1972595890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337484",
            "telephone_number": "937-393-4390",
            "fax_number": "937-393-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337484",
            "telephone_number": "937-393-4390",
            "fax_number": "937-393-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLITZ",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34004061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0623089",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00665499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.