Active NPI
Ashley Henegar
- Medical Physician Assistant
- Bluefield, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 01666
- Practice address
- 1027 Frederick St
Bluefield, WV 24701-3942 - Phone
- (304) 325-8104
- NPI assigned
- Oct 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 01666 | WV | Primary |
Addresses
Primary practice location
1027 Frederick St
Bluefield, WV 24701-3942
Mailing address
301 Cove St
Bluefield, VA 24605-9667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 Lexington Rd
Georgetown, KY 40324-9330
1152 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-5603
1154 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 863-3303
175 Hospital Dr
Suite 120
Georgetown, KY 40324
Phone (502) 570-2324
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01666 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Mso LLC | Current | Accepting new patients | |
| Kentucky Mso LLC | Current | Accepting new patients | |
| Kentucky Mso LLC | Past | Accepting new patients |
Locations
1152 Lexington Rd
Georgetown, KY 40324
Phone (502) 570-4003
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
1140 Lexington Rd
Ste 202
Georgetown, KY 40324
Phone (502) 868-1100
225 Hospital Dr
Ste 325
Winchester, KY 40391
Phone (502) 868-5603
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- ashley.henegar.1@19475.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Georgetown, KY
- NPI 1164867883
-
- Family Medicine Physician
- Georgetown, KY
- NPI 1710252622
-
- Rural Health Clinic/Center
- Lawrenceburg, KY
- NPI 1922860758
-
- Hematology & Oncology Physician
- Georgetown, KY
- NPI 1336483957
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Georgetown, KY
- NPI 1326107319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1659623817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 COVE ST",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246059667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 FREDERICK ST",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247013942",
"telephone_number": "304-325-8104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENEGAR",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WV",
"license": "01666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.