ANTONIA ARTISE ERNDT PA-C NPI 1457582454

NPI Information

NPI: 1457582454
Provider Name: ANTONIA ARTISE ERNDT, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1330 COSHOCTON AVE
MOUNT VERNON, OH
ZIP 43050
Phone: (740) 393-9000
Get Directions

Antonia Artise Erndt, PA-C is a surgical physician assistant in Mount Vernon, OH with 15 years of experience. Antonia Artise Erndt, PA-C NPI is 1457582454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1330 COSHOCTON AVE
MOUNT VERNON, OH
ZIP 43050-440
Phone: (740) 393-9000
Fax: (740) 392-0167

The NPI 1457582454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2009 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		MA053894	PENNSYLVANIA	No
2	363AS0400X	Physician Assistant	Surgical	50.004042	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0113127	MEDICAID	OHIO
2	H392390	OTHER	OHIO	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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