Active NPI
Michelle Emelia Yaw, M.D.
- Pediatrics Physician
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.072216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2064706 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-072216 | OH | MD | Pediatrics Physician |
| 35.072216 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oh Independent Medical Group LLC | Current | Accepting new patients | |
| Oh Independent Medical Group LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1497482111
-
- Durable Medical Equipment & Medical Supplies
- Circleville, OH
- NPI 1114753431
-
- Pediatrics Physician
- Westerville, OH
- NPI 1104989334
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.