Elizabeth Lucille Ankenman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.023636 Issued in OH

Practice address

31 W Elm St
Cedarville, OH 45314-8594

Phone

(937) 766-5683

Fax

(937) 766-3075

NPI assigned

Sep 30, 2014

Last updated

Sep 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1194128496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W ELM ST",
            "address_2": "P.O. BOX 5",
            "city": "CEDARVILLE",
            "state": "OH",
            "postal_code": "453148594",
            "telephone_number": "937-766-5683",
            "fax_number": "937-766-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W ELM ST",
            "city": "CEDARVILLE",
            "state": "OH",
            "postal_code": "453148594",
            "telephone_number": "937-766-5683",
            "fax_number": "937-766-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKENMAN",
        "first_name": "ELIZABETH",
        "middle_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.023636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Cedarville, OH
• Providers in Cedarville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.