Individual provider Active NPI

Jane A Broering Ammons, MD,

  • Psychiatry Physician
  • Maumee, OH
National Provider Identifier
1164596961
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34064493 Issued in OH
Practice address
1627 Henthorne Dr
Suite B
Maumee, OH 43537-1370
Phone
(419) 866-8232
Fax
(419) 866-8233
NPI assigned
Nov 20, 2006
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34064493 OH Primary

Addresses

Primary practice location

1627 Henthorne Dr
Suite B
Maumee, OH 43537-1370

Mailing address

1627 Henthorne Dr
Suite B
Maumee, OH 43537-1370
Phone (419) 866-8232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080131000152 OH Practitioner - Psychiatry 3870675770 Receives reassigned benefits from 3 practitioners
Practice locations: Maumee, OH

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Ohio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1627 Henthorne Dr
Suite B
Maumee, OH 43537-1370

1627 Henthorne Dr B
Maumee, OH 43537-1370
Phone (419) 866-8232

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34064493OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Broering Ammons Psychiatry PastSince Jun 1, 2000 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

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.

Organizations & group practices 2

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

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1164596961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 HENTHORNE DR",
            "address_2": "SUITE B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371370",
            "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": "1627 HENTHORNE DR",
            "address_2": "SUITE B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371370",
            "telephone_number": "419-866-8232",
            "fax_number": "419-866-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROERING AMMONS",
        "first_name": "JANE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34064493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.