MR. JUSTIN O'GRADY (NPI# 1104218718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104218718 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN O'GRADY |
| Credential | CNP |
| Practice Address |
59 Barleycorn Dr Sunbury OH 43074 |
| Mailing Address |
59 Barleycorn Dr Sunbury OH 43074-9331 |
| Practice Telephone | 9376840999 |
| Mailing Telephone | 9376840999 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN366993 | OH | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
COA.17437 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2142 N Cove Blvd, Department of Anesthesia, Toledo, OH 436063895 | 4192914491 | 4194796905 |
| Street Address |
59 BARLEYCORN DR |
| City | SUNBURY |
| State | OH |
| Zip Code | 43074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225727 | Douglas Hudoba | Dentist | 169 Oh-3, Sunbury, OH 43074 | 2015-05-19 |
| 1285873919 | Jessica Ruth Thiessen Long | Family Medicine | 100 Tippett Ct., Suite 101, Sunbury, OH 43074 | 2009-02-19 |
| 1699928804 | The Kroger Co | Pharmacy | 131 State Route 3, Sunbury, OH 43074 | 2008-10-31 |
| 1083622930 | Central Ohio Skin & Cancer Inc | Dermatology | 100 Tippett Court, Sunbury, OH 43074 | 2006-08-04 |
| 1891709812 | Lora Lynn Weeks | Nurse Practitioner | 111 W Cherry St, Sunbury, OH 43074 | 2006-07-27 |
| 1679561377 | Thomas W Erndt | Chiropractor | 123 State Route 3, Suite A, Sunbury, OH 43074 | 2005-10-07 |
| 1194175240 | Hudoba Dental 1, Inc | Dentist | 169 Oh-3, Sunbury, OH 43074 | 2016-06-20 |
| 1700229184 | Crystal D Reis | Massage Therapist | 44 S Kintner Pkwy, Suite E, Sunbury, OH 43074 | 2013-04-16 |
| 1215155221 | Dean P. Backiewicz | Dentist | 450 S. Miller Dr., Suite 200, Sunbury, OH 43074-0539 | 2007-04-23 |
| 1548669583 | Nicole Valot | Speech-Language Pathologist | 252 Butterfly Dr, Sunbury, OH 43074-6000 | 2014-08-15 |
| Find all providers in zip 43074 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839844 | Jarred Lee Uhrig | Nurse Practitioner | 3535 Southern Blvd Ste 2100, Kettering, OH 45429-1221 | 2020-10-23 |
| 1982202768 | Stephanie Yvonne Alexander | Nurse Practitioner | 2936 S Patterson Blvd, Dayton, OH 45419-1311 | 2020-10-13 |
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1518565837 | Kristen Michelle Swartz | Nurse Practitioner | 1661 Holland Rd Ste 200, Maumee, OH 43537-1659 | 2020-10-09 |
| 1205443454 | Natalie Gayle Brosz | Nurse Practitioner | 1118 Black Horse Run, Loveland, OH 45140-9019 | 2020-09-30 |
| 1982211595 | Jessica Lynne Barnett | Nurse Practitioner | 6632 Echo Ln, Cincinnati, OH 45230-1414 | 2020-09-28 |
| 1538776513 | Krista Ann Korey | Nurse Practitioner | 763 Colbert Cir, Cincinnati, OH 45240-3617 | 2020-09-24 |
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1215543582 | Eliezar Agaran | Nurse Practitioner | 4488 Aspen Dr, Liberty Twp, OH 45011-5210 | 2020-09-21 |
| 1609482058 | Noel Boyd | Nurse Practitioner | 7421 Dog Trot Rd, Cincinnati, OH 45248-1309 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.