MR. JON RANDAHL WATTERWORTH (NPI# 1205443330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205443330 |
| Entity Type | Individual |
| Full Name | MR. JON RANDAHL WATTERWORTH |
| Practice Address |
800 Mcbee Rd Sugarcrk Twp OH 45305-9747 |
| Practice Telephone | 9373675982 |
| Mailing Telephone | 9373675982 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 2903791 | OH | Agencies |
| Street Address |
800 MCBEE RD |
| City | SUGARCRK TWP |
| State | OH |
| Zip Code | 45305-9747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715727 | Cynthia Gebhart | Nurse Practitioner | 2450 Ferry Road, Bellbrook, OH 45305 | 2019-01-31 |
| 1952690810 | Neal Mehan | Neurological Surgery | 480 Sugarbrook Trl, Bellbrook, OH 45305 | 2011-03-31 |
| 1285792358 | John P Harmeyer | Dentist | 4291 Sugarcreek Dr, Bellbrook, OH 45305 | 2006-12-04 |
| 1548337850 | Douglas A Songer | Psychiatry & Neurology | 4301 St Rt 725, Ste B, Bellbrook, OH 45305 | 2006-11-29 |
| 1639250145 | David Scott Nicholson | Obstetrics & Gynecology | 4403 State Route 725 Ste A1, Bellbrook, OH 45305 | 2006-10-18 |
| 1568491306 | Richard Alan Welfare | Dentist | 4120 West Franklin St, Bellbrook, OH 45305 | 2006-07-02 |
| 1821398777 | Eric Bletzinger | Registered Nurse | 1930 N Lakeman Dr, Bellbrook, OH 45305 | 2010-10-26 |
| 1699317610 | Jessica Lynn Duke | Nurse Practitioner | 1930 N Lakeman Dr Ste 109, Bellbrook, OH 45305-1200 | 2019-10-10 |
| 1003815762 | 1957 N. Lakeman Avenue Operating Company, LLC | Skilled Nursing Facility | 1957 N Lakeman Dr, Bellbrook, OH 45305-1212 | 2005-07-15 |
| 1366511503 | William Charles Dahling | Dentist | 1964 N Lakeman Dr, Bellbrook, OH 45305-1229 | 2006-11-06 |
| Find all providers in zip 45305 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366387 | Yvonne Zachery | In Home Supportive Care | 2830 Lacresta Dr., Beavercreek, OH 45431-8909 | 2020-11-06 |
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1366043143 | Susan Ann Williams | In Home Supportive Care | 3730 Bean Oller Rd, Delaware, OH 43015-9283 | 2020-11-06 |
| 1619578796 | Cindy Jo Alwine | In Home Supportive Care | 452 Woodland Dr, Shadyside, OH 43947-1199 | 2020-11-04 |
| 1194326272 | Margaret Engelhard | In Home Supportive Care | 8773 Creekwood Dr, Maineville, OH 45039-8206 | 2020-11-04 |
| 1154922532 | Rita Ann Beck | In Home Supportive Care | 212 Harbel Dr, Saint Clairsville, OH 43950-1043 | 2020-11-03 |
| 1588265888 | Michelle Yvonne Low | In Home Supportive Care | 774 Humble Rd, Tallmadge, OH 44278-3133 | 2020-11-03 |
| 1740881002 | Laurie Ann Galownia | In Home Supportive Care | 146 N Sugar St, Saint Clairsville, OH 43950-1328 | 2020-11-03 |
| 1649871096 | Martha Jane Nix | In Home Supportive Care | 464 Oxford Ave, Akron, OH 44310-3354 | 2020-11-03 |
| 1316548829 | Raquel Covington | In Home Supportive Care | 1629 Greenlawn Ave, Akron, OH 44301-2743 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SUGARCRK TWP |
| Zip Code | 45305 |
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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.