John Konnerth

Physician • Youngstown, OH

Deactivated NPI 1295276699 Deactivated in NPPES Male Practitioner

Practice location in NPPES

4882 Westchester Dr, #7
Youngstown, OH 445152580

Phone: 3307932784

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 20, 2019; the reason is not published. The records below are historical. They do not show whether John Konnerth currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 17, 2017

NPI Deactivation Date March 20, 2019

NPI Active Period 2017 – 2019

Practice Location & Contact Primary Location

Practice Address

4882 Westchester Dr
#7

Youngstown, OH 445152580

Telephone 3307932784

Fax 3307932784

Before You Book

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Youngstown and Ohio

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated March 20, 2019

NPPES lists this NPI as deactivated as of March 20, 2019; the reason is not published.

✅

NPI Profile Active March 17, 2017

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) March 17, 2017

Registered at 4882 WESTCHESTER DR, #7, YOUNGSTOWN, OH 445152580 (Tel: 3307932784)

📍

Business Mailing Address (Initial Record) March 17, 2017

Registered at 4882 WESTCHESTER DR, #7, YOUNGSTOWN, OH 445152580 (Tel: 3307932784)

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Provider Name / Credentials (Initial Record) March 17, 2017

Recorded as JOHN KONNERTH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2017

Non-emergency Medical Transport (VAN)

🟢

Initial NPI Registration & Enumeration March 17, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295276699

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 17, 2017

Last Update: March 17, 2017

Deactivation Date: March 20, 2019

Update or Correct Profile

Mailing Address

4882 Westchester Dr, #7

Youngstown, OH 445152580

Phone: 3307932784

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.