Ancillary Services of Middletown

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANCILLARY SERVICES OF MIDDLETOWN

Practice address

105 McKnight Dr
Middletown, OH 45044-4838

Phone

(800) 742-2368

Fax

(937) 291-2962

NPI assigned

Jan 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grace Brown

Title

Practice Manager

Phone

(937) 291-7850

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barry Robertson, MD

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1629069612
  NPD (past)
• Phuong Hoang Vuong, MD

  • Pulmonary Disease Physician
  • Middletown, OH
  • NPI 1538234331

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790755841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632412",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632412",
            "telephone_number": "800-742-2368",
            "fax_number": "937-291-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MCKNIGHT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444838",
            "telephone_number": "800-742-2368",
            "fax_number": "937-291-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCILLARY SERVICES OF MIDDLETOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "937-291-7850"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0521126",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Deaton
• Shelly K Amburgey
• Amedisys SP-Oh, L.L.C. (Amedisys Home Health of Middletown)
• Shruti Amin, MD
• Anchored Connections LLC
• Amy Anders, MS, AT, CSCS
• Kandi Sue Anderson, L.P.N.
• Leeanne Anne Anderson, OTA
• Isiah Kofi Appiah
• Arise Wellness LLC

• Internal Medicine Physician in Middletown, OH
• Providers in Middletown, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.