NPIMap

Individual provider Active NPI

Natasha J Alexander, D.O.

  • Neurology Physician
  • Saint Marys, OH
National Provider Identifier
1366744914
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
58.003856 Issued in OH
Practice address
200 Saint Clair Ave
Grand Lake Neurological Center
Saint Marys, OH 45885-2400
Phone
(419) 394-9522
Fax
(419) 394-9523
NPI assigned
Dec 1, 2010
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 58.003856 OH Primary

Addresses

Primary practice location

200 Saint Clair Ave
Grand Lake Neurological Center
Saint Marys, OH 45885-2400

Mailing address

200 Saint Clair Ave
JTDM Family Practice, LLC
Saint Marys, OH 45885-2400
Phone (419) 394-3387

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address natashaalexander@glhs.allscriptsdirect.net

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
I20141013000209 OH Practitioner - Neurology 7719125582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio University, College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JTDM Family Practice LLCGroup PAC ID 2163415837, 48 clinicians

Practice addresses (Care Compare)

200 Saint Clair Ave
Suite 101
Saint Marys, OH 45885-2400
Phone (419) 394-9522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
78
Promoting interoperability
96
Improvement activities
40
Cost
76.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125684CAMDInternal Medicine Physician
58.003856OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC Neurology CurrentSince Aug 25, 2014 Accepting new patients
Joint Township District Memorial Hospital CurrentSince Aug 3, 2014 Accepting new patients

Locations

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

4463 State Route 66
Ste A
Minster, OH 45865
Phone (419) 628-3821

1040 Hager St
Saint Marys, OH 45885
Phone (419) 394-9959

1140 S Knoxville Ave
Ste D
Saint Marys, OH 45885

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

200 Saint Clair Ave
Ste 101
Saint Marys, OH 45885
Phone (419) 394-9522

Interoperability endpoints

  • Direct secure messaging: natashaalexander@glhs.allscriptsdirect.net

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.

Hospital & facility affiliations 7

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1366744914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "address_2": "JTDM FAMILY PRACTICE, LLC",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-394-3387",
            "fax_number": "419-394-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "address_2": "GRAND LAKE NEUROLOGICAL CENTER",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-394-9522",
            "fax_number": "419-394-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "NATASHA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "58.003856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natashaalexander@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "200 Saint Clair Ave",
            "address_2": "Grand Lake Neurological Center",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458852400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.