Michelle Decoste

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35042742D Issued in OH

Practice address

401 N Ewing St
Lancaster, OH 43130-3372

Phone

(740) 687-8000

Fax

(740) 687-8357

NPI assigned

Sep 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Fairfield Emergency Physicians Inc

  • Emergency Medicine Physician
  • Lancaster, OH
  • NPI 1598705949
  NPD (past)
• Fairfield ER Physicians Dba Fairfield Medical Center Pro Fee

  • Emergency Medicine Physician
  • Lancaster, OH
  • NPI 1942233879
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1083609978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443090309",
            "telephone_number": "330-864-7106",
            "fax_number": "330-869-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303372",
            "telephone_number": "740-687-8000",
            "fax_number": "740-687-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTE",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35042742D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0381064",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Dearth, RN
• Tara Decaro, QMHSBA, CMSBA
• Angelique Decker
• Chelsea Alizabeth Decker
• Jon B Decker, DDS
• Penni Joy Defazio, LPN
• Francis Paul Degenova, DO
• Kilynn Deible
• Patrice Dejesus
• Nichole Ruth Deleon, SOCIAL WORK TRAINEE

• Emergency Medicine Physician in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.