Active NPI
Edwin Everhart
- Social Worker
- Perrysville, OH
National Provider Identifier
1235669086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1601080
- Practice address
- 1012 Odnr Mohican 51
Perrysville, OH 44864-9407 - Phone
- (419) 994-0300
- NPI assigned
- Jun 14, 2017
- Last updated
- Jun 14, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1601080 | OH | Primary |
Addresses
Primary practice location
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Mailing address
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S.1601080 | Other | OH | LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1601080 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1174680557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1235669086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 ODNR MOHICAN 51",
"city": "PERRYSVILLE",
"state": "OH",
"postal_code": "448649407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 ODNR MOHICAN 51",
"city": "PERRYSVILLE",
"state": "OH",
"postal_code": "448649407",
"telephone_number": "419-994-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERHART",
"first_name": "EDWIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1601080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "S.1601080",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perrysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.