Active NPI
Heidi L Sazdanoff, RN/BSN
- Pharmacist
- Ashland, OH
National Provider Identifier
1962173591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RN153019
- Practice address
- 419 Claremont Ave
Ashland, OH 44805-3009 - Phone
- (419) 566-3241
- NPI assigned
- Sep 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN153019 | OH | |
| Pharmacist | 183500000X | RN153019 | OH | Primary |
Addresses
Primary practice location
419 Claremont Ave
Ashland, OH 44805-3009
Mailing address
419 Claremont Ave
Ashland, OH 44805-3009
Phone (419) 289-3717
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN153019 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane Drug Co | Current | Accepting new patients | |
| Lane Drug Co | Past | Accepting new patients |
Locations
419 Claremont Ave
Ashland, OH 44805
Phone (419) 289-3717
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1962173591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 CLAREMONT AVE",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448053009",
"telephone_number": "419-289-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 CLAREMONT AVE",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448053009",
"telephone_number": "419-566-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAZDANOFF",
"first_name": "HEIDI",
"middle_name": "L",
"credential": "RN/BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN153019",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "RN153019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.