Justin Rollence Andes, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

58. 003554 Issued in OH

Practice address

875 8TH St NE
Massillon, OH 44646-8503

Phone

(330) 832-8761

NPI assigned

Aug 11, 2010

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 OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Ohio University, College of Osteopathic Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summa Emergency Associates IncGroup PAC ID 4880590876, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summa Emergency Associates, Inc.

  • Emergency Medicine Physician
  • Wooster, OH
  • NPI 1811936883
  Medicare reassignment Care Compare group NPD
• Emergency Professional Services, Inc.

  dba Emergency Professional Services of Ohio, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Magis Emergency Medicine LLC

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1801287511
  Medicare reassignment NPD
• Mid-Ohio Emergency Group, LLC

  • Emergency Medicine Physician
  • Mansfield, OH
  • NPI 1881164010
  Medicare reassignment NPD
• Physicians Link Center LLC

  • Emergency Medicine Physician
  • Elyria, OH
  • NPI 1235172925
  Medicare reassignment NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• Ues Ahuja LLC

  • Emergency Medicine Physician
  • Beachwood, OH
  • NPI 1467883934
  Medicare reassignment NPD
• Tri-County Medical Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hartville, OH
  • NPI 1053411173
  NPD
• Tri-County Medical Services, Inc.

  • Family Medicine Physician
  • Hartville, OH
  • NPI 1467637421
  NPD
• Summa Emergency Associates

  • Emergency Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1639317944
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Wooster

  dba Wooster Community Hospital

  • General Acute Care Hospital
  • Wooster, OH
  • NPI 1437156247
  Care Compare affiliation

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1477868776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDES",
        "first_name": "JUSTIN",
        "middle_name": "ROLLENCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "58. 003554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American EMS, LLC (Stark Summit Ambulance)
• Amherst Alliance LLC (Amherst Meadows - Laboratory)
• Amherst Alliance, LLC (Amherst Meadows Care Center)
• Amherst Alliance, LLC (Amherst Meadows Assisted Living)
• G. William Anderson, M.A. LPC
• John Charles Andreozzi, MD
• Julie A Andrews Lee, MA, LPCC-S
• Rinada Marie Andrews, CPS
• David Jerome Anthony
• Demetria Anthony, LPN

• Emergency Medicine Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.