NPIMap

Individual provider Active NPI

Emily J McCarty, DO

  • Family Medicine Physician
  • Jackson Center, OH
National Provider Identifier
1508800012
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34008558 Issued in OH
Practice address
805 E Pike St
Jackson Center, OH 45334-6001
Phone
(937) 596-0456
Fax
(937) 596-0462
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34008558 OH Primary

Addresses

Primary practice location

805 E Pike St
Jackson Center, OH 45334-6001

Mailing address

805 E Pike St
Jackson Center, OH 45334-6001
Phone (937) 596-0456

Other identifiers 1

IdentifierTypeStateIssuer
2994130MedicaidOH

Other names 1

  • Dr. Emily J Roberts Former 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
I20091130000173 OH Practitioner - Family Practice 4284669938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

805 E Pike St
Jackson Center, OH 45334-6001
Phone (937) 596-0456

Hospital & facility affiliations

  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197
  • Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008558OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital Current Accepting new patients
Mary Rutan Hospital Family Medicine CurrentSince Dec 1, 2009 Accepting new patients
Mary Rutan Hospital CurrentSince Dec 1, 2009 Accepting new patients
Mary Rutan Hospital Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

500 N Westminster St
Waynesfield, OH 45896
Phone (419) 568-9100

Interoperability endpoints

  • Direct secure messaging: emily.mccarty@20079570386948.direct.elationemr.com

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.

Hospital & facility affiliations 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508800012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E PIKE ST",
            "city": "JACKSON CENTER",
            "state": "OH",
            "postal_code": "453346001",
            "telephone_number": "937-596-0456",
            "fax_number": "937-596-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E PIKE ST",
            "city": "JACKSON CENTER",
            "state": "OH",
            "postal_code": "453346001",
            "telephone_number": "937-596-0456",
            "fax_number": "937-596-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "EMILY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34008558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2994130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ROBERTS",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson Center, OH

Sources for this page

Verify at the official NPI Registry.