Organization Active NPI

Ashland Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Ashland, OH
National Provider Identifier
1386779981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
83371 Issued in OH
Legal business name
ASHLAND ENDOCRINOLOGY LLC
Practice address
934 Center St
Ashland, OH 44805-4063
Phone
(419) 281-2222
Fax
(419) 281-0000
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angela Novy, MDNPI 1487636791
Title
Employee and President
Phone
(419) 281-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 83371 OH Primary

Addresses

Primary practice location

934 Center St
Ashland, OH 44805-4063

Mailing address

934 Center St
Ashland, OH 44805-4063
Phone (419) 281-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070309000310 OH Part B Supplier - Clinic/Group Practice 9436252517 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, OH

National Provider Directory

National Provider Directory

Locations

934 Center St
Ste C
Ashland, OH 44805
Phone (419) 281-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386779981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054063",
            "telephone_number": "419-281-2222",
            "fax_number": "419-281-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054063",
            "telephone_number": "419-281-2222",
            "fax_number": "419-281-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EMPLOYEE AND PRESIDENT",
        "authorized_official_telephone_number": "419-281-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "83371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.