Individual provider Active NPI

Michelle Emelia Yaw, M.D.

  • Pediatrics Physician
  • Westerville, OH
National Provider Identifier
1093886947
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.072216 Issued in OH
Practice address
575 Westar Xing
Suite 101
Westerville, OH 43082-7800
Phone
(614) 508-2223
Fax
(614) 508-2233
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-072216 OH
Pediatrics Physician 208000000X 35.072216 OH Primary

Addresses

Primary practice location

575 Westar Xing
Suite 101
Westerville, OH 43082-7800

Mailing address

575 Westar Xing
Suite 101
Westerville, OH 43082-7800
Phone (614) 508-2223

Other identifiers 1

IdentifierTypeStateIssuer
2064706MedicaidOH

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
I20050512000938 OH Practitioner - Pediatric Medicine 2567403223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-072216OHMDPediatrics Physician
35.072216OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Aug 16, 2024 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Aug 16, 2024 Accepting new patients
Westerville Pediatric Specialists, Inc. Pediatrics Past Accepting new patients

Locations

3430 Ohiohealth Pkwy
Columbus, OH 43202
Phone (614) 533-5493

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

575 Westar Xing
Ste 101
Westerville, OH 43082
Phone (614) 508-2223

Interoperability endpoints

  • Direct secure messaging: michelle.yaw.1@26020.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1093886947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 WESTAR XING",
            "address_2": "SUITE 101",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827800",
            "telephone_number": "614-508-2223",
            "fax_number": "614-508-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 WESTAR XING",
            "address_2": "SUITE 101",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827800",
            "telephone_number": "614-508-2223",
            "fax_number": "614-508-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAW",
        "first_name": "MICHELLE",
        "middle_name": "EMELIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-072216",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.072216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064706",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.