Individual provider Active NPI

Paula Grimes McEachen, M.D

  • Obstetrics & Gynecology Physician
  • Chandler, AZ
National Provider Identifier
1174790646
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301057368 Issued in MI
Practice address
1950 W Frye Rd
Chandler, AZ 85224-6255
Phone
(480) 895-9555
Fax
(480) 802-7845
NPI assigned
May 13, 2008
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 56966 AZ
Obstetrics & Gynecology Physician 207V00000X 4301057368 MI Primary

Addresses

Primary practice location

1950 W Frye Rd
Chandler, AZ 85224-6255

Mailing address

1950 W Frye Rd
Chandler, AZ 85224-6255
Phone (480) 895-9555

Other identifiers 1

IdentifierTypeStateIssuer
1174790646MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56966AZMDObstetrics & Gynecology Physician
4301057368MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Ronald L. Price, M.D., P.C. PastSince Oct 6, 2019 Accepting new patients
Catherine McAuley Health Services Corporation Obstetrics & Gynecology Past Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1174790646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246255",
            "telephone_number": "480-895-9555",
            "fax_number": "480-802-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246255",
            "telephone_number": "480-895-9555",
            "fax_number": "480-802-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEACHEN",
        "first_name": "PAULA",
        "middle_name": "GRIMES",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "56966",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301057368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174790646",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.