| Charles M Ammon, | |
| 
					146 West 5th Street, East Liverpool, OH 43920-3734  | |
| (330) 382-0165 | |
| (330) 382-0275 | 
| Full Name | Charles M Ammon | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 146 West 5th Street, East Liverpool, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306158944 | NPI | - | NPPES | 
| 3810023079 | Medicaid | WV | |
| 0060646 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WF0300X | Registered Nurse - Flight | RN270498 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.11984 (Ohio) | Primary | 
| Entity Name | Steel Valley Emergency Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831145275 PECOS PAC ID: 3577511195 Enrollment ID: O20050110000903  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Charles M Ammon, 380 Summit Avenue Mso Physician Billing, Steubenville, OH 43952-2667 Ph: (740) 283-7597  | Charles M Ammon, 146 West 5th Street, East Liverpool, OH 43920-3734 Ph: (330) 382-0165  | 
Mr. Matthew A Handley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 W 5th St, East Liverpool, OH 43920 Phone: 330-385-7200  | |
Dr. Tammy L Mccoy, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15655 State Route 170 Ste A, East Liverpool, OH 43920 Phone: 330-386-4303 Fax: 216-229-2630  | |
Isaac M Archibeque, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 48462 Bell School Rd, East Liverpool, OH 43920 Phone: 724-773-1995  | |
Mrs. Lisa Oliver, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15655 State Route 170 Ste A, East Liverpool, OH 43920 Phone: 330-386-4303 Fax: 216-229-2630  | |
Mrs. Breanne Michelle Montero, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16494 Saint Clair Ave, East Liverpool, OH 43920 Phone: 330-424-7221  | |
Jennifer Joseph, APRN.CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 W 6th St, East Liverpool, OH 43920 Phone: 330-932-1823 Fax: 330-932-1832  | |
Morgan Rachelle Jones, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 123 W 6th St, East Liverpool, OH 43920 Phone: 330-385-7170  |