JOHN JACOB BIEDENBACH CNP NPI 1174878979

NPI Information

NPI: 1174878979
Provider Name: JOHN JACOB BIEDENBACH, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MARIETTA MEMORIAL HOSPITAL

PECOS Registration: Yes

Address:
304 MAIN ST
CALDWELL, OH
ZIP 43724
Phone: (740) 732-2339
Get Directions

John Jacob Biedenbach, CNP is a family nurse practitioner in Caldwell, OH with 12 years of experience. John Jacob Biedenbach, CNP NPI is 1174878979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

304 MAIN ST
CALDWELL, OH
ZIP 43724-322
Phone: (740) 732-2339
Fax: (740) 732-2350

The NPI 1174878979 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 7/17/2012 and was last updated on 8/12/2020.

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	363LF0000X	Nurse Practitioner	Family	13436	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3810027180	MEDICAID	WEST VIRGINIA
2	0069103	MEDICAID	OHIO

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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