MR. JUSTIN O'GRADY CNP NPI 1104218718

NPI Information

NPI: 1104218718
Provider Name: MR. JUSTIN O'GRADY, CNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: MOUNT CARMEL HEALTH PROVIDERS TWO LLC

PECOS Registration: Yes

Address:
59 BARLEYCORN DR
SUNBURY, OH
ZIP 43074
Phone: (937) 684-0999
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MR. Justin O'grady, CNP is an acute care nurse practitioner in Sunbury, OH with 9 years of experience. MR. Justin O'grady, CNP NPI is 1104218718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

59 BARLEYCORN DR
SUNBURY, OH
ZIP 43074
Phone: (937) 684-0999

The NPI 1104218718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/19/2015 and was last updated on 9/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	RN366993	OHIO	No
2	363LA2100X	Nurse Practitioner	Acute Care	COA.17437	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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