NPIMap

Organization Active NPI

Jane Broering Ammons

  • Psychiatry Physician
  • Holland, OH
National Provider Identifier
1154541118
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35064493 Issued in OH
Legal business name
JANE BROERING AMMONS
Practice address
7429 International Dr
#2
Holland, OH 43528
Phone
(419) 866-8232
Fax
(419) 866-8233
NPI assigned
May 1, 2007
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Dr. Jane A Broering AmmonsNPI 1164596961
Title
Owner
Phone
(419) 866-8232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35064493 OH Primary

Addresses

Primary practice location

7429 International Dr
#2
Holland, OH 43528

Mailing address

7429 International Dr
#2
Holland, OH 43528
Phone (419) 866-8232

Other identifiers 1

IdentifierTypeStateIssuer
0163255MedicaidOH

National Provider Directory

National Provider Directory

Locations

7429 International Dr
#2
Holland, OH 43528
Phone (419) 866-8232

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1154541118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 INTERNATIONAL DR",
            "address_2": "#2",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-866-8232",
            "fax_number": "419-866-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7429 INTERNATIONAL DR",
            "address_2": "#2",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-866-8232",
            "fax_number": "419-866-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE BROERING AMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "BROERING AMMONS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-866-8232",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35064493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163255",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.