ETHAN G PRESTON (NPI# 1306498134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306498134 |
| Entity Type | Individual |
| Full Name | ETHAN G PRESTON |
| Credential | CDCA |
| Practice Address |
700 Park Ave Ironton OH 45638-1502 |
| Mailing Address |
Po Box 108 Ironton OH 45638-0108 |
| Practice Telephone | 7405321613 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.170962 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0358491 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982191169 | Ethan Preston | Nurse Practitioner | 25990 Crocker Blvd, Harrison Township, MI 48045-3450 | 2018-04-13 |
| Street Address |
700 PARK AVE |
| City | IRONTON |
| State | OH |
| Zip Code | 45638-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797273 | Natasha M Blevins | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-10-16 |
| 1043827918 | Mary E Brady | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-09-25 |
| 1326652637 | Carie L Rife | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-09-03 |
| 1053922872 | Emily Masri | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-08-14 |
| 1831708189 | Tracie L Kellogg | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-07-23 |
| 1114535648 | Stacey L Sammons | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-07-21 |
| 1902414162 | Nicolette R Franklin | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-07-14 |
| 1225656101 | Chyenne S Mcdonald | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-07-08 |
| 1326664657 | Megan M Cooper | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-06-23 |
| 1427673763 | Nicole D Morgan | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1457902793 | Janet Hanshaw | Technician | 1923 2nd Street, Ironton, OH 45638 | 2019-09-27 |
| 1881123149 | Paul Ryan Krum | Specialist/Technologist | 1497 County Road 44 South, Ironton, OH 45638 | 2017-06-08 |
| 1114474665 | Kirt R Shipley | Pharmacist | 1848 St Rt 141, Ironton, OH 45638 | 2016-09-01 |
| 1114398633 | Ryan Munion | Licensed Practical Nurse | 1020 N 5th St, Ironton, OH 45638 | 2015-10-09 |
| 1821417411 | Bobbie Lynne Oliver | Registered Nurse | 523 Gallia Pike, Ironton, OH 45638 | 2014-04-10 |
| 1518202977 | Carol Jean Ashworth | Licensed Practical Nurse | 2932 S. 5th Street, Sanctuary of The Ohio Valley, Ironton, OH 45638 | 2012-12-11 |
| 1326337494 | April Dawn Pemberton | Registered Nurse | 97 Township Rd 1376, Ironton, OH 45638 | 2011-03-29 |
| 1437451614 | New Beginnings Behavioral Health | Social Worker | 611 Railroad St, Ironton, OH 45638 | 2010-11-22 |
| 1245532654 | Patrio D Tismo Pa Inc | Family Medicine | 107 North 3rd Street, Ironton, OH 45638 | 2010-11-18 |
| Find all providers in zip 45638 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817358 | Keely Shaye Kerns | Counselor | 1022 N 5th St, Ironton, OH 45638-1214 | 2020-09-29 |
| 1205313772 | Tonya Cantrell | Counselor | 81 Township Road 349 # 6, Ironton, OH 45638-8617 | 2018-07-26 |
| 1336657873 | Kimberly Renee Hartley | Counselor | 5998 State Route 650, Ironton, OH 45638-8652 | 2018-01-18 |
| 1972100014 | United Family Recovery, LLC | Counselor | 117 N 4th St, Ironton, OH 45638-1403 | 2020-10-01 |
| 1659988558 | Anna Bloomfield | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-09-25 |
| 1700493699 | Tara N Myers | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-09-25 |
| 1134736036 | Kymbria Williams | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-09-25 |
| 1730797309 | Nina Danielle Swartzmiller | Counselor | 2111 S 7th St, Ironton, OH 45638-2538 | 2020-07-20 |
| 1316555352 | Kathy Jean Lewis | Counselor | 1724 S 3rd St, Ironton, OH 45638-2269 | 2020-07-15 |
| 1770119968 | Charles Gorman | Counselor | 1007 N 2nd St, Ironton, OH 45638-1235 | 2020-03-19 |
| Find all providers in IRONTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.