Active NPI
Melissa K McRae, D.O.
- Family Medicine Physician
- Mount Gilead, OH
National Provider Identifier
1073508982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34007177B
- Practice address
- 900 Meadow Dr
Suite C
Mount Gilead, OH 43338-1063 - Phone
- (419) 946-1085
- Fax
- (419) 946-1209
- NPI assigned
- Sep 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34007177B | OH | Primary |
Addresses
Primary practice location
900 Meadow Dr
Suite C
Mount Gilead, OH 43338-1063
Mailing address
7326 State Route 19
Unit 5014
Mount Gilead, OH 43338-9354
Phone (419) 946-1527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2274444 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190221001634 | OH | Order and Referring Only - Family Practice | 7214824846 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007177B | OH | MD | Family Medicine Physician |
| 7177 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bucyrus Community Hospital LLC | Past | Accepting new patients | |
| Meridia Medical Group, LLC | Past | Accepting new patients | |
| Clinic Regional Physicians LLC | Family Medicine | Past | Accepting new patients |
| Incare Health Solutions LLC | Past | Accepting new patients | |
| Radiology Associates of Canton, Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Bucyrus, OH
- NPI 1104914274
-
- Internal Medicine Physician
- Beachwood, OH
- NPI 1043470453
Family Medicine
-
- Internal Medicine Physician
- Marion, OH
- NPI 1235422403
-
- Specialist
- Warrensville Heights, OH
- NPI 1316992944
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1073508982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7326 STATE ROUTE 19",
"address_2": "UNIT 5014",
"city": "MOUNT GILEAD",
"state": "OH",
"postal_code": "433389354",
"telephone_number": "419-946-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MEADOW DR",
"address_2": "SUITE C",
"city": "MOUNT GILEAD",
"state": "OH",
"postal_code": "433381063",
"telephone_number": "419-946-1085",
"fax_number": "419-946-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRAE",
"first_name": "MELISSA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34007177B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2274444",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Gilead, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.