NPIMap

Individual provider Active NPI

Jonathan Michael Ashley, M.D.

  • Hospitalist Physician
  • State College, PA
National Provider Identifier
1275919672
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD465856 Issued in PA
Practice address
1800 E Park Ave
State College, PA 16803
Phone
(814) 278-4818
Fax
(814) 234-6150
NPI assigned
Aug 7, 2015
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD465856 PA
Hospitalist Physician 208M00000X MD465856 PA Primary

Addresses

Primary practice location

1800 E Park Ave
State College, PA 16803

Mailing address

1800 E Park Ave
State College, PA 16803-6797
Phone (814) 278-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181101002966 PA Practitioner - HospitalistPractitioner - Family Practice 9335417468 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470

155 Wellness Way
State College, PA 16803-6702

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc Family Medicine CurrentSince Jan 20, 2019 Accepting new patients
Upmc Altoona CurrentSince Sep 24, 2018 Accepting new patients
Mount Nittany Medical Center Health Services Inc Family Medicine CurrentSince Aug 31, 2019 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Jan 20, 2019 Accepting new patients
Mount Nittany Medical Center Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

501 Howard Ave
Ste F2
Altoona, PA 16601
Phone (814) 889-2020

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

9498 William Penn Hwy
Huntingdon, PA 16652
Phone (814) 643-0461

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

306 Plum St
Williamsburg, PA 16693
Phone (814) 832-3405

Organizations & group practices 6

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 5

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1275919672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036797",
            "telephone_number": "814-278-4818",
            "fax_number": "814-234-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16803",
            "telephone_number": "814-278-4818",
            "fax_number": "814-234-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD465856",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD465856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.