Individual provider Active NPI

Ashley N Harnden, D.O.

  • Surgery Physician
  • Mount Clemens, MI
National Provider Identifier
1144531500
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101018804 Issued in MI
Practice address
1030 Harrington St
Suite 103
Mount Clemens, MI 48043-2967
Phone
(586) 466-6230
Fax
(586) 496-3828
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101018804 MI Primary

Addresses

Primary practice location

1030 Harrington St
Suite 103
Mount Clemens, MI 48043-2967

Mailing address

1030 Harrington St
Suite 103
Mount Clemens, MI 48043-2967
Phone (586) 466-6230

Other identifiers 1

IdentifierTypeStateIssuer
1144531500MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615000457 MI Practitioner - General Surgery 4183943871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macomb Surgical Associates,P.C.Group PAC ID 7719994052, 4 clinicians
McLaren MacombGroup PAC ID 8921912791, 131 clinicians

Practice addresses (Care Compare)

21510 Harrington St
Suite 102
Clinton TWP, MI 48036-2378
Phone (586) 228-3800

36500 S Gratiot Ave
102 Multispecialties
Clinton Township, MI 48035-1772
Phone (586) 790-9003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue94
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018804MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Macomb Surgery CurrentSince Nov 16, 2015 Accepting new patients
Macomb Surgical Associates,P.C. Surgery CurrentSince Jan 1, 2023 Accepting new patients
McLaren Macomb Past Accepting new patients

Locations

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

36500 S Gratiot Ave
Ste 102
Clinton Twp, MI 48035
Phone (586) 790-9003

21510 Harrington St
Ste 102
Clinton Twp, MI 48036
Phone (586) 228-3800

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1030 Harrington St
Ste 1
Mount Clemens, MI 48043
Phone (586) 466-6230

1030 Harrington St
Ste 103
Mount Clemens, MI 48043
Phone (586) 466-6230

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1144531500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 103",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-466-6230",
            "fax_number": "586-496-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 103",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-466-6230",
            "fax_number": "586-496-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNDEN",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144531500",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.