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Individual provider Active NPI

Ashley A Burkholder, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Sandusky, OH
National Provider Identifier
1376930073
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
34.014412 Issued in OH
Practice address
1912 Hayes Ave
Sandusky, OH 44870-4736
Phone
(419) 557-7070
NPI assigned
Apr 20, 2015
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 34.014412 OH Primary

Addresses

Primary practice location

1912 Hayes Ave
Sandusky, OH 44870-4736

Mailing address

1912 Hayes Ave
Sandusky, OH 44870-4736
Phone (419) 557-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210721002054 MI Practitioner - Family Practice 8921312554 Reassigns benefits to 1 organization
I20230928004014 OH Practitioner - Hospice/Palliative Care 8921312554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Ohio University, College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.014412OHMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Apr 22, 2024 Accepting new patients
Stein Hospice Services, Inc Family Medicine CurrentSince Nov 4, 2023 Accepting new patients
Hospice of the Western Reserve at University Hospitals, LLC Family Medicine CurrentSince Apr 23, 2024 Accepting new patients
Seasons Medical Group of Michigan, PC Hospice and Palliative Medicine CurrentSince Aug 1, 2021 Accepting new patients
North Coast Professional Company, LLC Family Medicine CurrentSince Apr 22, 2024 Accepting new patients
Stein Hospice Services, Inc Hospice and Palliative Medicine CurrentSince Nov 4, 2023 Accepting new patients
Sentara Medical Group Family Medicine Past Accepting new patients
Erie County Office of Auditor Past Accepting new patients

Locations

6400 Shafer Ct
Ste 700
Rosemont, IL 60018

27355 John R Rd
Madison Hts, MI 48071
Phone (248) 291-2698

17876 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 383-2222

17876 Saint Clair Ave
Ste 102
Cleveland, OH 44110
Phone (216) 701-0736

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1200 Sycamore Line
Sandusky, OH 44870
Phone (419) 625-5269

1221 Hayes Ave
Ste B
Sandusky, OH 44870
Phone (419) 557-6550

1912 Hayes Ave
Sandusky, OH 44870
Phone (419) 609-1460

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Organizations & group practices 9

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 6

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1376930073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "34.014412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.