ASHLEY A. ANTOLICK MD – NPI #1912358607
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

ASHLEY ANTOLICK is a physician located in MAPLEWOOD, MN. NPPES has assigned the NPI number 1912358607 to ASHLEY ANTOLICK on June 24, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Nov 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASHLEY ANTOLICK below.

NPI Profile for
ASHLEY A. ANTOLICK

NPI Number
1912358607
Enumeration Date

(about 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ASHLEY A. ANTOLICK
Credentials
MD
Primary location
1575 BEAM AVE
MAPLEWOOD, MN 55109-1126
Phone: (651) 232-6665 Fax:
2 Other location(s):
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-1680
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
Mailing address
2829 UNIVERSITY AVE SE STE 730
MINNEAPOLIS, MN 55414-3279
Phone: (612) 439-1868 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
MI 4301110681

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL - Graduated 2016
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ASHLEY ANTOLICK is affiliated with the following medical group(s):
  • HOSPITAL
    • M HEALTH FAIRVIEW ST JOHN'S HOSPITAL
      1575 BEAM AVENUE
      MAPLEWOOD, MN 55109
    • M HEALTH FAIRVIEW UNIVERSITY OF MN
      2450 RIVERSIDE AVENUE
      MINNEAPOLIS, MN 55454

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.