Provider Demographics
NPI:1386779981
Name:ASHLAND ENDOCRINOLOGY LLC
Entity type:Organization
Organization Name:ASHLAND ENDOCRINOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-281-2222
Mailing Address - Street 1:934 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-4063
Mailing Address - Country:US
Mailing Address - Phone:419-281-2222
Mailing Address - Fax:419-281-0000
Practice Address - Street 1:934 CENTER ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-4063
Practice Address - Country:US
Practice Address - Phone:419-281-2222
Practice Address - Fax:419-281-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH83371207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty