Individual provider Active NPI

Ashley Kochanek Weisman, MD

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1801158324
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60624150 Issued in WA
Practice address
Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114
Phone
(617) 726-2865
NPI assigned
Jun 11, 2012
Last updated
Jan 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 277873 MA
Emergency Medicine Physician 207P00000X MD60624150 WA Primary
Internal Medicine Physician 207R00000X L-251448 MA

Addresses

Primary practice location

Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114

Mailing address

Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114
Phone (617) 726-2865

Other names 1

  • Ashley R. Kochanek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, VT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190605003157 TX Practitioner - Emergency Medicine 0042464570 Reassigns benefits to 2 organizations
I20200807001137 NY Practitioner - Emergency Medicine 0042464570 Reassigns benefits to 5 organizations
I20200810000210 VT Practitioner - Emergency Medicine 0042464570 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Harvard Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alice Hyde Medical CenterGroup PAC ID 4082525837, 88 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

133 Park St
Malone, NY 12953-1243

133 Park St
Malone, NY 12953-1244

134 Park St
Malone, NY 12953-1251
Phone (518) 481-2800

16 3Rd St a
Malone, NY 12953-1305
Phone (518) 481-2870

16 3Rd St B
Malone, NY 12953-1305
Phone (518) 481-2870

16 4TH St C
Malone, NY 12953-1340
Phone (518) 481-2896

183 Park St
Malone, NY 12953-1238

187 Park St
Suite 2
Malone, NY 12953-1233
Phone (518) 481-2790

20 4TH St
Suite 2
Malone, NY 12953-1339
Phone (518) 481-2677

23 4TH St
Malone, NY 12953-1331
Phone (518) 481-2880

23 Forth St
Suite 1
Malone, NY 12953-1238
Phone (518) 481-8080

24 4TH St
Suite 4
Malone, NY 12953-1350
Phone (518) 481-2632

45 6TH St
Malone, NY 12953-1246
Phone (518) 481-8000

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

969 State RT
Suite 11
Moira, NY 12957
Phone (518) 529-7847

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60624150WAMDEmergency Medicine Physician
L-251448MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Elizabethtown Community Hospital CurrentSince Jul 13, 2020 Accepting new patients
North Sound Emergency Medicine PC Emergency Medicine CurrentSince Sep 17, 2016 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Providence Health & Services- Washington CurrentSince Oct 29, 2017 Accepting new patients
Porter Hospital, Inc Internal Medicine CurrentSince Jan 15, 2025 Accepting new patients
Maniilaq Association CurrentSince May 21, 2019 Accepting new patients
Maniilaq Association CurrentSince May 21, 2019 Accepting new patients
Alice Hyde Medical Center Internal Medicine CurrentSince Jun 29, 2023 Accepting new patients
University of Vermont Medical Center Inc Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Providence Health & Services - Wa CurrentSince Oct 29, 2017 Accepting new patients
Porter Hospital Inc Current Accepting new patients
Maniilaq Association Current Accepting new patients
Elizabethtown Community Hospital CurrentSince Jul 13, 2020 Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

77 Vine St
Barre, VT 05641
Phone (802) 225-1266

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Interoperability endpoints

  • Direct secure messaging: aweisman378409@direct.uvmhealth.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1801158324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MASSACHUSETTS GENERAL HOSPITAL",
            "address_2": "55 FRUIT ST.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-726-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MASSACHUSETTS GENERAL HOSPITAL",
            "address_2": "55 FRUIT ST.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-726-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "ASHLEY",
        "middle_name": "KOCHANEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "277873",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60624150",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "L-251448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "KOCHANEK",
            "middle_name": "R.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.