Active NPI
Amanda Storm Elston, M.D.
- Internal Medicine Physician
- Zanesville, OH
National Provider Identifier
1952386617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35047459E
- Practice address
- 1210 Ashland Ave
Zanesville, OH 43701-2806 - Phone
- (740) 454-8551
- Fax
- (740) 454-2411
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35047459E | OH | Primary |
Addresses
Primary practice location
1210 Ashland Ave
Zanesville, OH 43701-2806
Mailing address
860 Bethesda Dr
Zanesville, OH 43701-1800
Phone (740) 454-4651
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000177592 | Other | OH | UNISON PIN |
| 0493360 | Other | OH | UHC PIN |
| 0989499 | Other | OH | GROUP MEDICAID |
| 000000018842 | Other | OH | ANTHEM PIN |
| 110094948 | Other | OH | MEDICARE RAILROAD |
| 0564394 | Medicaid | OH | |
| 311413469056 | Other | OH | CARESOURCE PIN |
| CA0426 | Other | OH | GROUP MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35047459E | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1952386617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 BETHESDA DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011800",
"telephone_number": "740-454-4651",
"fax_number": "740-454-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 ASHLAND AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012806",
"telephone_number": "740-454-8551",
"fax_number": "740-454-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSTON",
"first_name": "AMANDA",
"middle_name": "STORM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35047459E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON PIN",
"identifier": "000000177592",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "0493360",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "0989499",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000018842",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110094948",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0564394",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE PIN",
"identifier": "311413469056",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE RAILROAD",
"identifier": "CA0426",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.