JUSTIN D LAUDICK (NPI# 1609393818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609393818 |
Entity Type | Individual |
Full Name | JUSTIN D LAUDICK |
Credential | BSN-RN, NP-C |
Practice Address |
290 East 3rd Street Ottoville OH 45876 |
Mailing Address |
290 E. 3rd Street Ottoville OH 45876 |
Practice Telephone | 4194533321 |
Mailing Telephone | 4194533321 |
Enumeration Date | 2017-08-28 |
Last Update Date | 2020-02-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN.354086 | OH | Nursing Service Providers |
N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
132516 | OH | Allopathic & Osteopathic Physicians |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.024177 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
290 EAST 3RD STREET |
City | OTTOVILLE |
State | OH |
Zip Code | 45876 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528032653 | Brian J Saxton | Chiropractor | 271 W. Canal Street, Ottoville, OH 45876 | 2006-02-15 |
1598740961 | Joel D Knerr | Family Medicine | 290 E Third Street, Ottoville, OH 45876 | 2005-12-08 |
1841690559 | Laura Becker | Speech-Language Pathologist | 409 Walnut Street, Ottoville, OH 45876-0038 | 2014-08-29 |
1780008557 | Ottoville Local School District | Local Education Agency (LEA) | 650 W Third St, Ottoville, OH 45876-0248 | 2014-02-13 |
1457368078 | Thomas H Siefker | Dentist | 125 Main Street, Ottoville, OH 45876-0250 | 2006-08-03 |
1033302419 | John M. Saxton, Inc | Chiropractor | 271 W. Canal St., Ottoville, OH 45876-0295 | 2007-08-20 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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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.