Arie Ashkenasi, M.D.

Key facts

NPI

1497768600

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Neurodevelopmental Disabilities Physician 2080P0008X

License

103169 (MO)

Practice address

1000 E Primrose St
#200
Springfield, MO 65807-5154

Phone

(417) 269-1010

Fax

(417) 269-6755

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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.

• Ozarks Medical Center General Acute Care Hospital · West Plains, MO · NPI 1831115641
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: arie.ashkenasi@cernerdirect.coxhealth.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 4, 2012.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1497768600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-1010",
            "fax_number": "417-269-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST",
            "address_2": "#200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075154",
            "telephone_number": "417-269-1010",
            "fax_number": "417-269-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHKENASI",
        "first_name": "ARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "MO",
            "license": "103169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206723306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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