Individual provider Active NPI

Michelle Garber, PA-C

  • Medical Physician Assistant
  • Coshocton, OH
National Provider Identifier
1235596669
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.004575RX Issued in OH
Practice address
406 S 15TH St
Coshocton, OH 43812-2285
Phone
(740) 295-3331
Fax
(740) 295-3332
NPI assigned
Jan 15, 2016
Last updated
Dec 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.004575RX OH Primary

Addresses

Primary practice location

406 S 15TH St
Coshocton, OH 43812-2285

Mailing address

406 S 15TH St
Coshocton, OH 43812-2285
Phone (740) 295-3331

Other identifiers 1

IdentifierTypeStateIssuer
0155182MedicaidOH

Other names 1

  • Michelle Taylor Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160121001696 OH Practitioner - Physician Assistant 6204139488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Primary Care Physicians, LLCGroup PAC ID 5294992293, 45 clinicians

Practice addresses (Care Compare)

101 W Dave Longaberger Ave
Suite a
Dresden, OH 43821-9490
Phone (740) 565-4103

1210 Ashland Ave
Zanesville, OH 43701-2806
Phone (740) 454-0370

751 Forest Ave
Zanesville, OH 43701-2875

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers CurrentSince Jan 4, 2016 Accepting new patients
Muskingum Valley Health Centers CurrentSince Jan 4, 2016 Accepting new patients

Locations

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1235596669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S 15TH ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122285",
            "telephone_number": "740-295-3331",
            "fax_number": "740-295-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S 15TH ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122285",
            "telephone_number": "740-295-3331",
            "fax_number": "740-295-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBER",
        "first_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004575RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.