Individual provider Active NPI

Charles M Ammon

  • Family Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1306158944
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.11984 Issued in OH
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000067 OH Practitioner - Nurse Practitioner 4284819913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN270498OHMDFlight Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.