Amanda K Kovolyan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11015615A Issued in IN

Practice address

139 Gaius St
Bucyrus, OH 44820-1508

Phone

(419) 563-9855

Fax

(419) 563-3285

NPI assigned

Jun 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akovolyan482117@direct.osumc.edu

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.

• Galion Community Hospital

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522

  Family Medicine

  Medicare reassignment NPD
• North Central Ohio Family Care Center, Inc

  • Specialist
  • Galion, OH
  • NPI 1689822827
  Medicare reassignment
• Galion Community Hospital

  • Pharmacy
  • Crestline, OH
  • NPI 1346061256
  NPD
• Bucyrus Community Hospital LLC

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1629372461
  NPD (past)

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1801117601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST STE 150",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 GAIUS ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201508",
            "telephone_number": "419-563-9855",
            "fax_number": "419-563-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVOLYAN",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11015615A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akovolyan482117@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "139 Gaius St",
            "city": "Bucyrus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448201508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eddie Arnold Kirkpatrick, LPC
• Mackenzie Rae Klamfoth, M.S.W.
• Mia Knapp, LPN
• Pamela Knapp, LPN
• Taylor Koesters
• Benjamin Robert Krull, PA-C
• John Kiess Kurtz, M.D.
• Kristen M Lambert, CDCA
• Christine Lawrence, LPN
• Che-Cheong Lee

• Family Medicine Physician in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.