MR. JON PHILIP HAUTZENROEDER (NPI# 1205300886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205300886 |
| Entity Type | Individual |
| Full Name | MR. JON PHILIP HAUTZENROEDER |
| Credential | CNP |
| Practice Address |
2139 Auburn Ave Cincinnati OH 45219-2906 |
| Mailing Address |
3877 Celtis Ct Hamilton OH 45013-9564 |
| Practice Telephone | 5135852341 |
| Mailing Telephone | 5132357291 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
APRN.CNP.022892 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | F04180312 | 01 |
| Street Address |
2139 AUBURN AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950510 | Sanjay J Patil | Internal Medicine | 2139 Auburn Ave, Baldwin Bldg - 5 South, Cincinnati, OH 45219-2906 | 2005-05-23 |
| 1497356968 | Megan Marie Whitely | Registered Nurse | 2139 Auburn Ave, Cincinnati, OH 45219-2989 | 2020-11-02 |
| 1801496765 | Drew Alexander Davis | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-10-29 |
| 1508479155 | Brice Cable | Anesthesiologist Assistant | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-08-24 |
| 1710598503 | Geraldine Harpen | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-08-14 |
| 1952910572 | Matthew Colton Hemm | Registered Nurse | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-07-29 |
| 1174132070 | Rebecca Moore | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-07-27 |
| 1457973729 | Michael Wolf | Podiatrist | 2139 Auburn Ave, Cincinnati, OH 45219-2989 | 2020-05-10 |
| 1609498070 | Konstantin Gruenwald | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-05-08 |
| 1568083640 | Nadine Aboumerhi | Anesthesiologist Assistant | 2139 Auburn Ave, Cincinnati, OH 45219-2989 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587136 | Eric Wilhelm | Clinical Nurse Specialist | 8760 Ashton Pl, North Ridgeville, OH 44039-8701 | 2019-06-20 |
| 1073902185 | Diane Koehl | Clinical Nurse Specialist | 8859 Brookside Ave Ste 101, West Chester, OH 45069-7113 | 2015-01-13 |
| 1871999292 | Brandi L Blanton | Clinical Nurse Specialist | 1341 S Trimble Rd, Mansfield, OH 44907-2605 | 2014-11-12 |
| 1598107526 | Family Urgent Care, LLC. | Clinical Nurse Specialist | 879 N Bridge St, Chillicothe, OH 45601-1704 | 2013-07-18 |
| 1760825285 | Jeanne Ingles Family Practice | Clinical Nurse Specialist | 21 Central Ave Ste D, Gallipolis, OH 45631-1824 | 2013-04-15 |
| 1053657098 | My Practitoner Family Practice | Clinical Nurse Specialist | 2996 State Route 132, Amelia, OH 45102-2404 | 2012-12-19 |
| 1275018095 | Claudia P. Rodriguez | Clinical Nurse Specialist | 2213 Cherry St, Toledo, OH 43608-2603 | 2018-09-27 |
| 1720591936 | Corinthia Niedermeier | Clinical Nurse Specialist | 5100 W Broad St, Columbus, OH 43228-1607 | 2017-11-09 |
| 1700308608 | Suvarnamala Pushkaran | Clinical Nurse Specialist | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2017-07-12 |
| 1093257701 | Bethany Farrell | Clinical Nurse Specialist | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2016-11-11 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on MR. JON PHILIP HAUTZENROEDER.
| 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.