MS. JANICE LEE FETHEROLF (NPI# 1104948843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104948843 |
| Entity Type | Individual |
| Full Name | MS. JANICE LEE FETHEROLF |
| Credential | AID |
| Practice Address |
12209 Lecorne St Millersport OH 43046 |
| Mailing Address |
15231 St Rt #93 South Logan OH 43138 |
| Practice Telephone | 7405078544 |
| Mailing Telephone | 7403806210 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 253359 | OH | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 105552217999 | 05 |
| Street Address |
12209 LECORNE ST |
| City | MILLERSPORT |
| State | OH |
| Zip Code | 43046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003088857 | Nicole Renee Miller | Licensed Practical Nurse | 2642 East Park Street, Millersport, OH 43046 | 2008-04-01 |
| 1306956644 | Haga Corporation | Pharmacy | 12075 Lancaster St, Millersport, OH 43046 | 2006-08-30 |
| 1386858082 | David Craig Brookover | Pharmacist | 11880 Lancaster St, Millersport, OH 43046-0184 | 2007-05-10 |
| 1083662951 | Michael James Martin Jr. | Family Medicine | 12135 Lancaster St., Millersport, OH 43046-0218 | 2006-05-04 |
| 1790733848 | Joseph Anthony Trapp | Family Medicine | 12135 Lancaster St., Millersport, OH 43046-0218 | 2006-05-04 |
| 1336197474 | James Walter Whetstone | Family Medicine | 12135 Lancaster St., Millersport, OH 43046-0218 | 2006-05-04 |
| 1750897955 | Dr. Montgomery Orthodontics Inc | Dentist | 11985 Lancaster St, Millersport, OH 43046-0640 | 2017-12-26 |
| 1508040676 | Liberty Healthcare Services, LLC | Home Health | 12402 Lancaster St., Millersport, OH 43046-3712 | 2007-12-24 |
| 1467782011 | Kristie N Sisson | Registered Nurse | 12370 Wolfe Blvd, Millersport, OH 43046-7000 | 2010-01-04 |
| 1730169897 | Glen E Keller | Chiropractor | 10400 Lancaster Newark Rd Ne, Millersport, OH 43046-8003 | 2006-01-17 |
| Find all providers in zip 43046 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154690402 | Jessica Nichole Worstall | Home Health Aide | 3338 S Bank Rd Ne, Millersport, OH 43046-9521 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730920 | Dashawn Mcdowell | Home Health Aide | 128 Hawk Ave, Akron, OH 44312-1437 | 2020-11-08 |
| 1730780404 | Lyuba Vitkin | Home Health Aide | 6608 Kingswood Dr, Cleveland, OH 44124-4229 | 2020-11-08 |
| 1245831981 | Raymond Arthur Smith | Home Health Aide | 3338 Stonington Cir, Ravenna, OH 44266-9093 | 2020-11-07 |
| 1336740091 | Deanna Jean Bays | Home Health Aide | 5537 Lake Michigan Dr, Fairfield, OH 45014-3268 | 2020-11-07 |
| 1659972313 | Dorthea Lucas | Home Health Aide | 6396 James Rouse Blvd, Canal Winchester, OH 43110-9675 | 2020-11-07 |
| 1366043176 | Tyreal Nycole Love | Home Health Aide | 506 Geneva Rd, Dayton, OH 45417-1349 | 2020-11-06 |
| 1588265367 | Melissa Hardesty | Home Health Aide | 269 Raymond Dr, Hubbard, OH 44425-1277 | 2020-11-06 |
| 1598366361 | Kurt Friedl | Home Health Aide | 7264 Bennell Dr, Reynoldsburg, OH 43068-7056 | 2020-11-06 |
| 1962003848 | Jessica John | Home Health Aide | 4065 W 143rd St, Cleveland, OH 44135-1471 | 2020-11-05 |
| 1578164638 | Sheila Marie Smith | Home Health Aide | 567 Treeside Dr, Stow, OH 44224-1111 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | MILLERSPORT |
| Zip Code | 43046 |
Please comment or provide details below to improve the information on MS. JANICE LEE FETHEROLF.
| 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.