Dale W Economan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02000601 Issued in IN

Practice address

707 N River Dr
Marion, IN 46952-2765

Phone

(765) 573-5999

Fax

(765) 662-0312

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Economan & Associates Family Medicine Inc.

  • Family Medicine Physician
  • Marion, IN
  • NPI 1578828745
  NPD (past) Authorized official
• Marion Occupational Medicine LLC

  • Family Medicine Physician
  • Marion, IN
  • NPI 1225332315
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1295705234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522765",
            "telephone_number": "765-573-5999",
            "fax_number": "765-662-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522765",
            "telephone_number": "765-573-5999",
            "fax_number": "765-662-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECONOMAN",
        "first_name": "DALE",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita S Easterday, CRT, CPFT, C-AE-C
• Alyssa Eberle, RBT
• Amy D Eberle
• Oluwatunmise Ebunlomo, MD
• Economan & Associates Family Medicine Inc.
• Caleb Eder, RBT
• Carissa Edwards, RBT
• Daniel John Edwards, MD
• Desirae Edwards, RBT
• Krystin Eib

• Family Medicine Physician in Marion, IN
• Providers in Marion, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.