NPIMap

Individual provider Active NPI

Andrea Nicole O'Hanlon, PA-C

  • Physician Assistant
  • Cambridge, OH
National Provider Identifier
1275826463
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50004427 Issued in OH
Practice address
1330 Clark St
Cambridge, OH 43725-9614
Phone
(740) 421-9530
Fax
(740) 421-9531
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002164 IA
Physician Assistant 363A00000X 50004427 OH Primary

Addresses

Primary practice location

1330 Clark St
Cambridge, OH 43725-9614

Mailing address

859 N Main St
Malta, OH 43758-9007
Phone (740) 962-6111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151027002022 OH Practitioner - Physician Assistant 2567637119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskingum Valley Health Centers 74 clinicians

Practice addresses (Care Compare)

1330 Clark St
Cambridge, OH 43725-9614
Phone (740) 421-9530

Hospital & facility affiliations

  • Southeastern Home Care, LLC Home health agency, Cambridge, OH, CCN 367433
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Southeastern Ohio Regional Medical Center Hospital, Cambridge, OH, CCN 360203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50004427OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers CurrentSince Sep 13, 2015 Accepting new patients
Muskingum Valley Health Centers CurrentSince Sep 13, 2015 Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1275826463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 N MAIN ST",
            "city": "MALTA",
            "state": "OH",
            "postal_code": "437589007",
            "telephone_number": "740-962-6111",
            "fax_number": "740-962-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259614",
            "telephone_number": "740-421-9530",
            "fax_number": "740-421-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HANLON",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002164",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50004427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.