| NPI | 1205828241 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-16 |
| Last Updated | 2023-11-03 |
| Mailing Address | 1601 Brigham Dr, Suite 200 Perrysburg, OH 43551-7114 United States Phone: (419) 872-7700 | Fax: (419) 874-0196 📍 View Map |
| Primary Practice Address | 1601 Brigham Dr, Suite 200 Perrysburg, OH 43551-7114 United States Phone: (419) 872-7700 | Fax: (419) 874-0196 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | OH | 000000141200 | Anthem |
| Other (non-Medicare) | OH | 00010 | PHC |
| Other (non-Medicare) | OH | 0633991 | Aetna |
| MEDICAID | OH | 0666275 | - |
| Other (non-Medicare) | OH | 12-01216 | UHC |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | OH | 35052934 |
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About NPI 1205828241
Jon R Dvorak MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205828241. The primary specialty listed is Pediatrics. The provider is located in Perrysburg, OH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205828241?
NPI 1205828241 belongs to Jon R Dvorak MD, a Pediatrics in Perrysburg, OH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205828241 active?
The current status of NPI 1205828241 in the NPPES registry is Active. The record was last updated on 2023-11-03.
What specialty is NPI 1205828241?
NPI 1205828241 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205828241?
You can verify NPI 1205828241 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205828241?
The primary practice address on file for NPI 1205828241 is 1601 Brigham Dr, Perrysburg, OH 43551-7114. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205828241 issued?
NPI 1205828241 was first issued (enumerated) on 2005-08-16. The NPPES record was last updated on 2023-11-03.
Practice Location Map
Jon R Dvorak is located at 1601 Brigham Dr, Perrysburg, OH. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jon R Dvorak. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205828241. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 35052934 | OH |