NPIMap

Individual provider Active NPI

Jonathan T Eucker, M.D.

  • Obstetrics & Gynecology Physician
  • Youngstown, OH
National Provider Identifier
1417952276
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.073212 Issued in OH
Practice address
800 E Western Reserve Rd
Youngstown, OH 44514-3359
Phone
(234) 287-6618
Fax
(330) 726-1123
NPI assigned
Jun 17, 2005
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.073212 OH Primary

Addresses

Primary practice location

800 E Western Reserve Rd
Youngstown, OH 44514-3359

Mailing address

800 E Western Reserve Rd
Poland, OH 44514-3359
Phone (234) 287-6618

Other identifiers 1

IdentifierTypeStateIssuer
2195146MedicaidOH

Other names 1

  • Dr. Jonathan T Eucker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000768 OH Practitioner - Obstetrics/Gynecology 8628081940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians
DRS Catherine E Molloy and Melinda Smith IncGroup PAC ID 7517984909, 2 clinicians

Practice addresses (Care Compare)

7600 Southern Blvd
Suite 1
Youngstown, OH 44512-6085
Phone (330) 758-9787

800 E Western Reserve Rd
Poland, OH 44514-3359
Phone (330) 726-4833

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.073212OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Reserve Gynecology CurrentSince Jul 1, 2012 Accepting new patients
Shipman,Eucker and Associates Obstetrics & Gynecology Past Accepting new patients
Jonathan T Eucker MD LLC PastSince Oct 16, 2012 Accepting new patients
Triad Health Services, LLC Obstetrics & Gynecology PastSince Jul 1, 2012 Accepting new patients

Locations

800 E Western Reserve Rd
Youngstown, OH 44514
Phone (330) 629-9949

Interoperability endpoints

  • Direct secure messaging: jeucker35200@direct.bsmhealth.org
  • Direct secure messaging: jone@2cb03652.micromddirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1417952276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E WESTERN RESERVE RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143359",
            "telephone_number": "234-287-6618",
            "fax_number": "330-726-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WESTERN RESERVE RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143359",
            "telephone_number": "234-287-6618",
            "fax_number": "330-726-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUCKER",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.073212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "EUCKER",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.