Individual provider Active NPI

Ashley Warner, MD

  • Family Medicine Physician
  • Athol, MA
National Provider Identifier
1790714079
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
234861 Issued in MA
Practice address
81 Reservoir Dr
Athol, MA 01331
Phone
(978) 248-5135
Fax
(978) 248-5130
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13136 NH
Family Medicine Physician 207Q00000X 234861 MA Primary

Addresses

Primary practice location

81 Reservoir Dr
Athol, MA 01331

Mailing address

242 Green St
Gardner, MA 01440-1336

Other practice location 1

14 Mill Street
Belknap Family Health Center
Belmont, NH 03220-4432
Phone (603) 267-7017

Other practice location 2

14 Mill Street
Belknap Family Health Center
Belmont, NH 03220-4432
Phone (603) 267-7017

Other identifiers 2

IdentifierTypeStateIssuer
30206066MedicaidNH
110004705AMedicaidMA

Other names 1

  • Ashley Gottlieb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061012000389 NH Practitioner - Family Practice 5092711176 Reassigns benefits to 1 organization
I20090915000697 MA Practitioner - Family Practice 5092711176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

101 Main St
Medford, MA 02155-4530
Phone (781) 396-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heywood Medical Group Inc. Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
The New London Hospital Association, Inc. Family Medicine Current Accepting new patients
Hallmark Health Medical Associates Inc Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Mar 1, 2017 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Athol Memorial Hospital Incorporated Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Valley Regional Medical Services Past Accepting new patients
Elliot Physicians Network Family Medicine Past Accepting new patients

Locations

81 Reservoir Dr
Athol, MA 01331
Phone (978) 248-5135

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

101 Main St
Ste 116
Medford, MA 02155
Phone (781) 391-2121

675 Main St
Melrose, MA 02176
Phone (781) 662-4934

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

273 County Rd
New London, NH 03257
Phone (603) 526-5215

11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203

Interoperability endpoints

  • Direct secure messaging: awarner45834@tuftsmedicine.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1790714079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 RESERVOIR DR",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "01331",
            "telephone_number": "978-248-5135",
            "fax_number": "978-248-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Mill Street",
            "address_2": "Belknap Family Health Center",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NH",
            "postal_code": "032204432",
            "country_code": "US",
            "telephone_number": "603-267-7017",
            "fax_number": "603-267-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Mill Street",
            "address_2": "Belknap Family Health Center",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NH",
            "postal_code": "032204432",
            "country_code": "US",
            "telephone_number": "603-267-7017",
            "fax_number": "603-267-7560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "ASHLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "13136",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "234861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206066",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110004705A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GOTTLIEB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athol, MA

Sources for this page

Verify at the official NPI Registry.