Michelle A Echevarria, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

3508042 Issued in OH

Practice address

500 London Ave
Marysville, OH 43040-5512

Phone

(937) 644-6115

Fax

(937) 619-4150

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mechevarria165948@direct.ccf.org

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Signature Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Ashtabula, OH
  • NPI 1336687482

  Corporate Director

  CMS ownership
• Signature Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Painesville, OH
  • NPI 1487199931

  Corporate Director

  CMS ownership
• Signature Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Garfield HTS, OH
  • NPI 1871031922

  Corporate Director

  CMS ownership
• Signature Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Beachwood, OH
  • NPI 1952810640

  Corporate Director

  CMS ownership
• Signature Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Willoughby, OH
  • NPI 1306612882

  Corporate Director

  CMS ownership

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 Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Emergency Medicine Physicians of Medina County, LTD

  • Emergency Medicine Physician
  • Lodi, OH
  • NPI 1457390312
  NPD (past)
• Ohio Em-I Medical Services, Professional Association

  • Physician Assistant
  • Willoughby, OH
  • NPI 1033429808
  NPD (past)
• CMK Home Health of Florida, LLC

  • Home Health Agency
  • Lakeland, FL
  • NPI 1922328848
  NPD (past)
• Complete Lab Tests Inc

  • Clinical Medical Laboratory
  • Westmont, IL
  • NPI 1487966834
  NPD (past)
• Islands Emergency Medical Service Hawaii, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Honolulu, HI
  • NPI 1154393353
  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": "1401667200000",
    "number": "1386759181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LONDON AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405512",
            "telephone_number": "937-644-6115",
            "fax_number": "937-619-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "3508042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103432",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2523353",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Dury
• Amanda Dusch
• John Dye, LICDC
• Joan Early, LSW
• Jamie Easton, BSW
• Lauren Renee Eder, OD
• Melissa Edwards, PT
• Jeffrey Brian Egelhoff
• Jordan Eggleston, PT, DPT, AT
• Madison Michelle Eldridge, PA-C

• Emergency Medicine Physician in Marysville, OH
• Providers in Marysville, 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 Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.