Carol Miller Van Ausdal, M.D.

Primary specialty

Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X

License

35036153 Issued in OH

Practice address

1 Childrens PLZ
Dayton, OH 45404-1898

Phone

(937) 641-3321

Fax

(937) 641-4410

NPI assigned

May 20, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952519183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751084",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454751084",
            "telephone_number": "937-853-0286",
            "fax_number": "937-853-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PLZ",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041898",
            "telephone_number": "937-641-3321",
            "fax_number": "937-641-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN AUSDAL",
        "first_name": "CAROL",
        "middle_name": "MILLER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "35036153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167515",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000077391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Spine & Rehab
• Valley Transport
• Belinda Vallo, RN
• Jesus Antonio Valtierra
• Vamc
• Jana Van Beckum
• Stacie Michelle Van Dam
• Kathryn P. Van Der Heiden, LPCC
• Melissa Kathryn Van Dine
• Kara Lenae Van Doesburg, COTA/L

• Pediatric Emergency Medicine (Pediatrics) Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Pediatric Emergency Medicine (Pediatrics) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.