Individual provider Active NPI

Melissa S Knarr, DO

  • Emergency Medicine Physician
  • Warren, OH
National Provider Identifier
1366427312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34 00 8348 Issued in OH
Practice address
667 Eastland Avenue SE
Warren, OH 44484
Phone
(330) 841-4000
Fax
(330) 841-4007
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34 00 8348 OH Primary

Addresses

Primary practice location

667 Eastland Avenue SE
Warren, OH 44484

Mailing address

5700 Darrow Road
Suite 106
Hudson, OH 44236-5021
Phone (330) 656-5911

Other identifiers 1

IdentifierTypeStateIssuer
2589755MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000583 OH Practitioner - Emergency Medicine 8820035462 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34 00 8348OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince May 16, 2015 Accepting new patients
Marion General Hospital Foundation, Inc. Emergency Medicine Past Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
4M Emergency Systems LLC Emergency Medicine Past Accepting new patients

Locations

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366427312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW ROAD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365021",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVENUE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44484",
            "telephone_number": "330-841-4000",
            "fax_number": "330-841-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNARR",
        "first_name": "MELISSA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34 00 8348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2589755",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.