Natasha J Alexander, D.O.
Individual provider Active NPI Neurology Physician · Saint Marys, OH
NPI 1366744914 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1366744914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 58.003856 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
200 Saint Clair Ave
Suite 101
Saint Marys, OH 45885-2400
Phone (419) 394-9522
Hospital & facility affiliations
- Grand Lake Health System
- Mercer County Joint Township Community Hospital
- Mercy Health St Ritas Medical Center
- Lima Memorial Health System
- Wilson Memorial Hospital
- Otterbein St Marys Retirement Community
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.44 of 100
- Quality
- 78
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 76.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141013000209 | OH | Practitioner - Neurology | 7719125582 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125684 | CA | MD | Internal Medicine Physician |
| 58.003856 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JTDM Family Practice LLC | Neurology | Current |
Accepting new patients |
| Joint Township District Memorial Hospital | Current |
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
- natashaalexander@glhs.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 58.003856 | OH | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105065 | Other | OH | GROUP MEDICAID |
| 0107179 | Medicaid | OH | |
| 9943723 | Other | OH | GROUP PTAN |
| 1184652539 | Other | OH | GROUP NPI - JTDM FAMILY PRACTICE, LLC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | natashaalexander@glhs.allscriptsdirect.net |
Other providers in Saint Marys, OH
- Accelerated Rehabilitation Centers, LTD
- Efren C Aganon
- Diane Alexander
- Linda Lou Allen
- Alliance for Women'S Health Inc
- Angela Rogers Family Practice
- Seetaramaiah Annam
- Genoa Arling
All providers in Saint Marys, OH · Neurology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.