Active NPI
Jill Clarissa Aston, MD
- Emergency Medicine Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35-094834
- Practice address
- 4750 Hempstead Station Dr
Kettering, OH 45429-5164 - Phone
- (800) 875-0136
- Fax
- (937) 619-4150
- NPI assigned
- Sep 17, 2008
- Last updated
- Jul 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 57-014600 | OH | |
| Emergency Medicine Physician | 207P00000X | 35-094834 | OH | Primary |
Addresses
Primary practice location
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Mailing address
3000 Mack Rd
Fairfield, OH 45014-5335
Other names 1
- Jill Clarissa Nelson
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wright State University Boonshoft School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-094834 | OH | MD | Emergency Medicine Physician |
| 57-014600 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHS Emergency Billing LLC | Emergency Medicine | Current | Accepting new patients |
Locations
2400 Lakeview Dr
#150
Beavercreek, OH 45431
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417
300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Atrium Medical Center | Hospital | Corporate Director | Jan 1, 2022 |
| Atrium Medical Center | Hospital | Corporate Director | Jan 1, 2022 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1578387486
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1821189085
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1649429309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MACK RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTON",
"first_name": "JILL",
"middle_name": "CLARISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "57-014600",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35-094834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "NELSON",
"middle_name": "CLARISSA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.