Habtom Yebio Asghede

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57649 Issued in CA

Practice address

3429 Lee Rd Apt 4
Shaker Heights, OH 44120-3630

Phone

(206) 313-5501

NPI assigned

Oct 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Woodlake, CA
  • NPI 1164517744
  Medicare reassignment
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1063283158
  NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1689158941
  NPD

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1447891791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 W CALDWELL AVE APT 130",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778205",
            "telephone_number": "206-313-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 LEE RD APT 4",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203630",
            "telephone_number": "206-313-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASGHEDE",
        "first_name": "HABTOM",
        "middle_name": "YEBIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cymry Aronson, M.D.
• Artistic Touch Transportation, Inc
• Keith C Arunan, M.S.S.A, LSW
• Rashad Asaad
• Fahimeh Asadi
• Stephanie Lynn Ash, LISW
• Joseph Askenazi, M.D.
• Aspen Dental
• Ashton Atkins, PHARMD
• Romkje Attema, D.C.

• Physician Assistant in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.

Verify at the official NPI Registry.