Individual provider Active NPI

Andrew Emerson, DO

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1083155428
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34013592 Issued in OH
Practice address
4880 S Main St Ste 4
Akron, OH 44319-4475
Phone
(330) 644-2700
NPI assigned
Mar 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34013592 OH Primary

Addresses

Primary practice location

4880 S Main St Ste 4
Akron, OH 44319-4475

Mailing address

3515 Massillon Rd Ste 300
Uniontown, OH 44685-7854
Phone (330) 899-9350

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722001881 OH Practitioner - Family Practice 7618203126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

4880 S Main St
Suite 4
Akron, OH 44319-4475
Phone (330) 644-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34013592OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Pioneer Physicians Network, Inc. Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Western Reserve Hospital, LLC Past Accepting new patients

Locations

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

4880 S Main St
Ste 4
Green, OH 44319
Phone (330) 644-2700

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
  • Direct secure messaging: andrew.emerson@ppn.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1083155428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "330-899-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 S MAIN ST STE 4",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443194475",
            "telephone_number": "330-644-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-18",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34013592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.