Olivia Stanton
Individual provider Active NPI Physician Assistant · Northwood, OH
NPI 1023707353 · NPPES record last updated May 3, 2023
Key facts
- NPI
- 1023707353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1231 Millbury Rd
Northwood, OH 43619-2653 - Phone
- (513) 728-9919
- NPI assigned
- May 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Toledo Hospital
Observation Physicians of Northwest Ohio LLC
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
Hospital & facility affiliations
- Promedica Toledo Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240508003625 | OH | Practitioner - Physician Assistant | 0345681391 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| The Toledo Hospital | Current |
Accepting new patients | |
| The Toledo Hospital | Current |
Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients |
Locations
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1231 Millbury Rd
Northwood, OH 43619-2653
Mailing address
1231 Millbury Rd
Northwood, OH 43619-2653
NPI Registry JSON
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1023707353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 MILLBURY RD",
"city": "NORTHWOOD",
"state": "OH",
"postal_code": "436192653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 MILLBURY RD",
"city": "NORTHWOOD",
"state": "OH",
"postal_code": "436192653",
"telephone_number": "513-728-9919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "OLIVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northwood, OH
- Gretchen A Reichow
- James Thomas Rogozinski
- Leah Rymers
- Sarah Schimmoeller
- Simply Ez HDM of Northwest Ohio
- Shelby Strayer
- Stucker Chiropractic Office, Inc
- Summit Rehabilitation Services, LLC
- Katelynn Telles
- Therapy Support, Inc
All providers in Northwood, OH · Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.