Erika K Dollard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50002269 Issued in OH

Practice address

5964 Golf Club LN
Hamilton, OH 45011-8224

Phone

(513) 893-1100

Fax

(513) 893-1128

NPI assigned

May 13, 2015

Last updated

Dec 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erika K Wasilewski Former name

Electronic endpoints 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Toledo College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridges Rehab at Home Home health agency, Mason, OH, CCN 368232
• Bethesda North Hospital, Cincinnati, OH, CCN 360179
• Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Alliance Physicians Inc

  dba Kettering Health Medical Group

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  Medicare reassignment Care Compare group NPD
• Alliance Physicians Inc

  dba Kettering Reproductive Medicine

  • Reproductive Endocrinology Physician
  • Kettering, OH
  • NPI 1578824033
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alternate Solutions Homecare 3, LLC

  • Home Health Agency
  • Mason, OH
  • NPI 1679765747
  Care Compare affiliation
• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation
• The Fort Hamilton Hospital

  dba Kettering Health Hamilton

  • General Acute Care Hospital
  • Hamilton, OH
  • NPI 1104867167
  Care Compare affiliation

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1225416092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5964 GOLF CLUB LN",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118224",
            "telephone_number": "513-893-1100",
            "fax_number": "513-893-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5964 GOLF CLUB LN",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118224",
            "telephone_number": "513-893-1100",
            "fax_number": "513-893-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLARD",
        "first_name": "ERIKA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130764",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edollard553683@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "5964 Golf Club Ln",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5964 Golf Club Ln",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "WASILEWSKI",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kelsey Lynn Donnini, LPCC
• Erin Susan Donovan, MSW, LISW

• Physician Assistant in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.

Verify at the official NPI Registry.