Active NPI
Noel N Eboh, MD
- Neurological Surgery Physician
- Marion, OH
National Provider Identifier
1164480851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35044038E
- Practice address
- 1040 Delaware Avenue
Marion, OH 43301-1814 - Phone
- (740) 383-7950
- Fax
- (740) 383-7087
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 35044038E | OH | Primary |
Addresses
Primary practice location
1040 Delaware Avenue
Marion, OH 43301-1814
Mailing address
# L-3549
Columbus, OH 43260-0001
Phone (740) 383-7927
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0410657 | Medicaid | OH | |
| 140004259 | Other | TRAVELERS MEDICARE | |
| 311098079 | Other | PPO NEXT | |
| 0465301 | Other | PALMETTO MEDICARE | |
| 353077 | Other | SUBMITTER NO | |
| 311098079069 | Other | CIGNA | |
| 0600018 | Other | UHC | |
| 311098079 | Other | TAX ID | |
| 311098079 | Other | TAXID E | |
| 646717 | Other | AETNA | |
| 000000118446 | Other | OH | ANTHEM |
| 311098079 | Other | TAX ID PHYSICIANS NONPHYS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35044038E | OH | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1164480851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "# L-3549",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432600001",
"telephone_number": "740-383-7927",
"fax_number": "740-383-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 DELAWARE AVENUE",
"city": "MARION",
"state": "OH",
"postal_code": "433011814",
"telephone_number": "740-383-7950",
"fax_number": "740-383-7087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBOH",
"first_name": "NOEL",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "35044038E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0410657",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "140004259",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO NEXT",
"identifier": "311098079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO MEDICARE",
"identifier": "0465301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBMITTER NO",
"identifier": "353077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "311098079069",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0600018",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "311098079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXID E",
"identifier": "311098079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "646717",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000118446",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID PHYSICIANS NONPHYS",
"identifier": "311098079",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.