Individual provider Active NPI

Ashley J Hothem, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Carson, CO
National Provider Identifier
1821255761
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0072567 Issued in MD
Practice address
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone
(719) 526-7806
NPI assigned
May 19, 2008
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0072567 MD Primary

Addresses

Primary practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Mailing address

1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone (740) 502-3742

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180511001760 OH Practitioner - Obstetrics/Gynecology 8123298353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

23599 Airport Rd
Suite B
Coshocton, OH 43812-9276
Phone (740) 722-9555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0072567MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC CurrentSince Dec 1, 2024 Accepting new patients
Genesis Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Muskingum Valley Health Centers Current Accepting new patients
Muskingum Valley Health Centers CurrentSince Aug 1, 2019 Accepting new patients
Muskingum Valley Health Centers CurrentSince Aug 1, 2019 Accepting new patients
Genesis Healthcare System Past Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

23599 Airport Rd
Ste B
Coshocton, OH 43812
Phone (740) 722-9555

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

1246 Ashland Ave
Ste 204
Zanesville, OH 43701
Phone (740) 450-6167

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

945 Bethesda Dr
Ste 140
Zanesville, OH 43701
Phone (740) 454-4040

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

975 Bethesda Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 452-4539

975 Bethesda Dr
Ste 1
Zanesville, OH 43701
Phone (740) 454-6808

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1821255761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "740-502-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTHEM",
        "first_name": "ASHLEY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0072567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.