Active NPI
Michele Celeste Edgington, C.C.P.
- Perfusionist
- Mayfield HTS, OH
National Provider Identifier
1003022260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- Practice address
- 6780 Mayfield Rd
Mayfield HTS, OH 44124-2203 - Phone
- (440) 312-4500
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | OH | Primary |
Addresses
Primary practice location
6780 Mayfield Rd
Mayfield HTS, OH 44124-2203
Mailing address
10172 Jenwood CT
Streetsboro, OH 44241-4312
Phone (330) 653-8268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970063 | Other | OH | ABCP I.D. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003022260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10172 JENWOOD CT",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442414312",
"telephone_number": "330-653-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6780 MAYFIELD RD",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441242203",
"telephone_number": "440-312-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGINGTON",
"first_name": "MICHELE",
"middle_name": "CELESTE",
"name_prefix": "Mrs.",
"credential": "C.C.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABCP I.D.",
"identifier": "970063",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.