Active NPI
Erin Mackenzie Tracy, DO
- Family Medicine Physician
- Trenton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.017268
- Practice address
- 3590 Busenbark Rd Ste 400
Trenton, OH 45067-9602 - Phone
- (513) 988-6369
- NPI assigned
- Apr 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | T0142 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Family Medicine Physician | 207Q00000X | 34.017268 | OH | Primary |
Addresses
Primary practice location
3590 Busenbark Rd Ste 400
Trenton, OH 45067-9602
Mailing address
3590 Busenbark Rd Ste 400
Trenton, OH 45067-9602
Phone (139) 886-3695
Other practice location 1
2261 Philadelphia Dr Ste 301
Dayton, OH 45406-1814
Phone (937) 734-4141
Other practice location 2
14530 NW Military Hwy
Shavano Park, TX 78231-1622
Phone (210) 450-6620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3590 Busenbark Rd
Suite 400
Trenton, OH 45067-9602
Phone (513) 988-6369
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0142 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Single Specialty | Current | Accepting new patients |
| Mvhe Inc | Single Specialty | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Mvhe Inc | Current | Accepting new patients | |
| Mvhe Inc | Past | Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
3590 Busenbark Rd
Ste 400
Trenton, OH 45067
Phone (513) 988-6369
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
14530 NW Military Hwy
Shavano Park, TX 78231
Phone (210) 450-6220
Interoperability endpoints
- etracy32984@direct.utmsa.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Single Specialty
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1497154827
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Hospitalist Physician
- Dayton, OH
- NPI 1356394795
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- Home Health Agency
- Moraine, OH
- NPI 1235127838
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1205332772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3590 BUSENBARK RD STE 400",
"city": "TRENTON",
"state": "OH",
"postal_code": "450679602",
"telephone_number": "139-886-3695",
"fax_number": "513-869-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 BUSENBARK RD STE 400",
"city": "TRENTON",
"state": "OH",
"postal_code": "450679602",
"telephone_number": "513-988-6369"
}
],
"practiceLocations": [
{
"address_1": "2261 Philadelphia Dr Ste 301",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454061814",
"country_code": "US",
"telephone_number": "937-734-4141",
"fax_number": "937-277-7249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14530 NW Military Hwy",
"address_purpose": "LOCATION",
"city": "Shavano Park",
"state": "TX",
"postal_code": "782311622",
"country_code": "US",
"telephone_number": "210-450-6620",
"fax_number": "210-450-6621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRACY",
"first_name": "ERIN",
"middle_name": "MACKENZIE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T0142",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.017268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.