Individual provider Active NPI

Ana Ward, PA-C

  • Medical Physician Assistant
  • East Hampton, NY
National Provider Identifier
1639785603
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
031766 Issued in NY
Practice address
200 Pantigo PL Ste F
East Hampton, NY 11937-5922
Phone
(631) 329-9300
NPI assigned
Sep 16, 2020
Last updated
May 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 031766 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X PA16181 TX

Addresses

Primary practice location

200 Pantigo PL Ste F
East Hampton, NY 11937-5922

Mailing address

200 Pantigo PL Ste F
East Hampton, NY 11937-5922

Other identifiers 1

IdentifierTypeStateIssuer
390200000XOtherTXSTUDENT, HEALTHCARE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240930000937 NY Practitioner - Physician Assistant 3779014907 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA16181TXMDObstetrics & Gynecology Physician
031766NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Nov 19, 2024 Accepting new patients
CHS Physician Partners, PC CurrentSince Nov 19, 2024 Accepting new patients
Women's Health Partners of the Permian Basin Obstetrics & Gynecology PastSince Feb 1, 2023 Accepting new patients
PJS Medical Diagnostic PLLC PastSince May 26, 2024 Accepting new patients
Womens Wellness of West Texas Obstetrics & Gynecology PastSince Feb 1, 2023 Accepting new patients

Locations

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

Interoperability endpoints

  • Direct secure messaging: ana.cantu.1@20422.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20422/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21504/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1639785603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PANTIGO PL STE F",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PANTIGO PL STE F",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375922",
            "telephone_number": "631-329-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ANA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "031766",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "PA16181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STUDENT, HEALTHCARE",
            "identifier": "390200000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

Verify at the official NPI Registry.