1811338999 NPI number — JOSHUA J OGLEHART APRN

Table of content: JOSHUA J OGLEHART APRN (NPI 1811338999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811338999 NPI number — JOSHUA J OGLEHART APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OGLEHART
Provider First Name:
JOSHUA
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OGLEHART
Provider Other First Name:
JOSHUA
Provider Other Middle Name:
JAMES
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN-CNP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1811338999
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/23/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
311 MARTIN LUTHER KING DR E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45219-2581
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-475-5300
Provider Business Mailing Address Fax Number:
859-655-6148

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
311 MARTIN LUTHER KING DR E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45219-2581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-475-5300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  APRN.CNP.024624 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: APRN.CNP.024624 . This is a "APRN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1-124320 . This is a "ALABAMA STATE LICENSE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: RN.461678 . This is a "RN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 4872 . This is a "ABSNC - CERTIFIED ADDICTIONS REGISTERED NURSE-ADAVANCE PRACTICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7100532720 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2013009198 . This is a "ANCC PSYCH. CERTFICIATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3012325 . This is a "KENTUCKY STATE LICENSE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".