Active NPI
Betsy D Ekey, PA-C
- Medical Physician Assistant
- Canton, OH
National Provider Identifier
1003929159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50.002921
- Practice address
- 4650 Hills and Dales Rd NW
Canton, OH 44708-6220 - Phone
- (330) 491-9675
- Fax
- (330) 491-1682
- NPI assigned
- Aug 15, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50.002921 | OH | Primary |
Addresses
Primary practice location
4650 Hills and Dales Rd NW
Canton, OH 44708-6220
Mailing address
893 Parkway Blvd
Alliance, OH 44601-2750
Phone (610) 308-9869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50.002921 | Other | OH | STATE LICENSE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002921 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Center LTD | Past | Accepting new patients | |
| Pratt Medical Center LTD | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Fredericksburg, VA
- NPI 1003840950
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1316973555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1003929159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "893 PARKWAY BLVD",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446012750",
"telephone_number": "610-308-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 HILLS AND DALES RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447086220",
"telephone_number": "330-491-9675",
"fax_number": "330-491-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKEY",
"first_name": "BETSY",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.002921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "50.002921",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.