Active NPI
Anthony Agnew
- Community/Behavioral Health Agency
- Holland, OH
National Provider Identifier
1982111795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 7015 Spring MDWS W Ste 102
Holland, OH 43528-9299 - Phone
- (419) 491-1180
- NPI assigned
- Jan 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
7015 Spring MDWS W Ste 102
Holland, OH 43528-9299
Mailing address
7015 Spring MDWS W Ste 102
Holland, OH 43528-9299
Phone (419) 491-1180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162637 | Other | CHEMICAL DEPENDENCY BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1982111795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 SPRING MDWS W STE 102",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289299",
"telephone_number": "419-491-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 SPRING MDWS W STE 102",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289299",
"telephone_number": "419-491-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGNEW",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-02",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY BOARD",
"identifier": "162637",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.