Matthew H Evenhouse, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35082452 Issued in OH

Practice address

1991 Crocker Rd Ste 500
Westlake, OH 44145-1962

Phone

(844) 764-4633

Fax

(310) 861-0855

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 Medicine

State licenses

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.

• Emergency Medicine Physicians of Cuyahoga County, LTD

  • Emergency Medicine Physician
  • Akron, OH
  • NPI 1265471148
  NPD (past)
• Emergency Medicine Physicians of Richland County, LTD

  • Emergency Medicine Physician
  • Mansfield, OH
  • NPI 1952341380
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346355179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 RUTH ST",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401228",
            "telephone_number": "614-902-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD STE 500",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451962",
            "telephone_number": "844-764-4633",
            "fax_number": "310-861-0855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28917 Northfield Rd",
            "address_purpose": "LOCATION",
            "city": "Bay Village",
            "state": "OH",
            "postal_code": "441401331",
            "country_code": "US",
            "telephone_number": "440-476-3445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 Ruth St",
            "address_purpose": "LOCATION",
            "city": "Bay Village",
            "state": "OH",
            "postal_code": "441401228",
            "country_code": "US",
            "telephone_number": "614-902-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVENHOUSE",
        "first_name": "MATTHEW",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35082452",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35082452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2420893",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.