Carrie Eckhauser, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.003634 Issued in OH

Practice address

6651 Frank Ave NW
North Canton, OH 44720-8442

Phone

(330) 498-9865

Fax

(330) 498-9869

NPI assigned

Dec 6, 2012

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Rehab Center II, IncGroup PAC ID 7517931272, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carrie.eckhauser@10522.chartlogic.direct-ci.com

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.

• Ohio Rehab Center II, Inc

  • Interventional Pain Medicine Physician
  • North Canton, OH
  • NPI 1740234806
  Medicare reassignment Care Compare group
• Karen Gade-Pulido MD, LLC

  • Physical Medicine & Rehabilitation Physician
  • Alliance, OH
  • NPI 1184053670
  NPD (past)

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

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1497090195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8047",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447118047",
            "telephone_number": "800-883-6577",
            "fax_number": "304-485-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208442",
            "telephone_number": "330-498-9865",
            "fax_number": "330-498-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHAUSER",
        "first_name": "CARRIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Dyshko
• Danielle Easterday
• Jeff P. Eastman
• Marilyn Eble, OTA.006708
• Diane M Eckard, COTA
• Natalie A Eckrote, PTA
• Cathlyn E Eckstein, LPTA
• Victoria M Edelston, COTA/L
• Sarah Edgell
• Kerri Edwards, COTA/L

• Physician Assistant in North Canton, OH
• Providers in North Canton, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.