Active NPI
Charles M Ammon
- Family Nurse Practitioner
- East Liverpool, OH
National Provider Identifier
1306158944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.11984
- Practice address
- 146 West 5TH Street
East Liverpool, OH 43920-3734 - Phone
- (330) 382-0165
- Fax
- (330) 382-0275
- NPI assigned
- Jul 12, 2010
- Last updated
- May 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Flight Registered Nurse | 163WF0300X | RN270498 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.11984 | OH | Primary |
Addresses
Primary practice location
146 West 5TH Street
East Liverpool, OH 43920-3734
Mailing address
380 Summit Avenue Mso Physician Billing
Steubenville, OH 43952-2667
Phone (740) 283-7597
Other practice location 1
1800 Franklin St
Toronto, OH 43964-1949
Phone (740) 537-5087
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN270498 | OH | MD | Flight Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Brooke County, PLLC | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Steubenville, OH
- NPI 1831145275
-
- Emergency Medicine Physician
- Weirton, WV
- NPI 1467491332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1306158944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 SUMMIT AVENUE MSO PHYSICIAN BILLING",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439522667",
"telephone_number": "740-283-7597",
"fax_number": "740-283-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 WEST 5TH STREET",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439203734",
"telephone_number": "330-382-0165",
"fax_number": "330-382-0275"
}
],
"practiceLocations": [
{
"address_1": "1800 Franklin St",
"address_purpose": "LOCATION",
"city": "Toronto",
"state": "OH",
"postal_code": "439641949",
"country_code": "US",
"telephone_number": "740-537-5087",
"fax_number": "740-537-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMMON",
"first_name": "CHARLES",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-12",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WF0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Flight",
"state": "OH",
"license": "RN270498",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.11984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Liverpool, OH
- Ruba Alhamid, LPC
- Scott Paul Alvey, L.P.C.C.
- Always Best Care of Columbiana and Mahoning Counties
- Always Best Care of Columbiana and Mahoning Counties
- Jack C Amato, M.D.
- Amy K. Lowery, D.O. LLC
- Christine Andujar, LPCC
- Ankle and Foot Care Centers
- Ankle and Foot Care Centers
- Samantha Jeanne Apanasewicz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.