Active NPI
David John Ahonen, FNP-BC
- Nurse Practitioner
- Iron Mountain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704272410
- Practice address
- 325 E H St
Iron Mountain, MI 49801-4760 - Phone
- (906) 774-3300
- NPI assigned
- Mar 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704272410 | MI | Primary |
Addresses
Primary practice location
325 E H St
Iron Mountain, MI 49801-4760
Mailing address
325 E H St
Iron Mountain, MI 49801-4760
Phone (906) 774-3300
Other practice location 1
580 W College Ave
Marquette, MI 49855-2736
Phone (906) 225-4575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704272410 | Other | MI | RN NURSE PRACTITIONER SPECIALTY CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704272410 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
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 and National Provider Directory roles.
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
Nurse Practitioner
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1447719794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 E H ST",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014760",
"telephone_number": "906-774-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E H ST",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014760",
"telephone_number": "906-774-3300"
}
],
"practiceLocations": [
{
"address_1": "580 W College Ave",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498552736",
"country_code": "US",
"telephone_number": "906-225-4575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHONEN",
"first_name": "DAVID",
"middle_name": "JOHN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-17",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704272410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN NURSE PRACTITIONER SPECIALTY CERTIFICATION",
"identifier": "4704272410",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.