Emma L Bixby Medical Center

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

EMMA L BIXBY MEDICAL CENTER

Practice address

5855 Monroe St
Sylvania, OH 43560-2269

Phone

(419) 824-7334

Fax

(419) 824-7359

NPI assigned

Oct 8, 2013

Last updated

Oct 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy L Dwyer

Title

Credentiailng Supervisor

Phone

(419) 824-7334

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Emma L. Bixby Medical Center

  • General Acute Care Hospital
  • Adrian, MI
  • NPI 1972564730

  O20040511001050

  Same enrollment

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Lenawee Long Term Care

  dba ProMedica Skilled Nursing and Rehabilitation (Adrian)

  • Skilled Nursing Facility
  • Adrian, MI
  • NPI 1548223720

  Member Of

  NPD member
• Monroe Cancer Center

  • Specialist
  • Monroe, MI
  • NPI 1760774681

  Member Of

  NPD member

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John P Longabaugh, MD

  • Cardiovascular Disease Physician
  • Toledo, OH
  • NPI 1225032592
  NPD
• Hemlata Bhaskar, M.D.

  • Internal Medicine Physician
  • Adrian, MI
  • NPI 1134385941
  NPD
• Lawrence Dasch, MD

  • Family Medicine Physician
  • Hudson, MI
  • NPI 1700845716
  NPD
• Paul E Gietzen Jr., M.D.

  • Internal Medicine Physician
  • Adrian, MI
  • NPI 1245227966
  NPD
• Nolan Lloyd Herrington, D.O.

  • Psychiatry Physician
  • East Lansing, MI
  • NPI 1548640352
  NPD
• Tara Elizabeth Saunders, CSW

  • Clinical Social Worker
  • Tecumseh, MI
  • NPI 1376693630
  NPD
• Tariq A. Siddiqi, MD

  • Family Medicine Physician
  • Adrian, MI
  • NPI 1235157421
  NPD
• Shumaila Younas, MD

  • Psychiatry Physician
  • Tecumseh, MI
  • NPI 1811251705
  NPD
• Erin I Basilius, PA

  • Medical Physician Assistant
  • Cleveland, OH
  • NPI 1609232834
  NPD (past)
• Angela Jane Wells, CNM

  • Advanced Practice Midwife
  • Oregon, OH
  • NPI 1356864045
  NPD (past)
• William J Gray, MD

  • Internal Medicine Physician
  • Morenci, MI
  • NPI 1588666317
  NPD (past)
• Louise Anne Justus, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Adrian, MI
  • NPI 1669508404
  NPD (past)

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1114354081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602269",
            "telephone_number": "419-824-7334",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602269",
            "telephone_number": "419-824-7334",
            "fax_number": "419-824-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMA L BIXBY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIAILNG SUPERVISOR",
        "authorized_official_telephone_number": "419-824-7334"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Ellithorpe, AU.D.
• Ahmed G. Elsayed, M.D.
• Marna Elzinga, OTR/L
• Kelly Emch, MD
• Emergency Medicine Group
• Empicare, Inc.
• Jonathan Engel
• Sarah Enriquez, NP
• Kathleen Gong Essel, M.D.
• Mark A Essex

• Cardiovascular Disease Physician in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.