Individual
DR. AMANDA STORM ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1210 ASHLAND AVE, ZANESVILLE, OH 43701-2806
(740) 454-8551
(740) 454-2411
Mailing address
860 BETHESDA DR, ZANESVILLE, OH 43701-1800
(740) 454-4651
(740) 454-4653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35047459E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000018842
ANTHEM PIN
OH
01
—
000000177592
UNISON PIN
OH
01
—
0493360
UHC PIN
OH
05
—
0564394
—
OH
01
—
0989499
GROUP MEDICAID
OH
01
—
110094948
MEDICARE RAILROAD
OH
01
—
311413469056
CARESOURCE PIN
OH
01
—
CA0426
GROUP MEDICARE RAILROAD
OH
Enumeration date
12/14/2005
Last updated
03/19/2009
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