NPIMap

Individual provider Active NPI

Erin Marie Dean, M.D.

  • Orthopaedic Surgery Physician
  • Hudson, OH
National Provider Identifier
1558535765
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35.095229 Issued in OH
Practice address
1310 Corporate Dr
Hudson, OH 44236-4441
Phone
(330) 475-1631
Fax
(330) 475-1634
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.095229 OH Primary

Addresses

Primary practice location

1310 Corporate Dr
Hudson, OH 44236-4441

Mailing address

1310 Corporate Dr
Hudson, OH 44236-4441
Phone (330) 475-1631

Other identifiers 1

IdentifierTypeStateIssuer
0082293MedicaidOH

Other names 1

  • Erin Marie Prewitt 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
I20130626000696 OH Practitioner - Orthopedic Surgery 9032366257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Clinic, Inc.Group PAC ID 7214821586, 46 clinicians

Practice addresses (Care Compare)

1310 Corporate Dr
Hudson, OH 44236-4430
Phone (330) 475-1631

2007 State Route 59
Kent, OH 44240-7610
Phone (330) 673-6299

3975 Embassy Pkwy
Suite 202
Akron, OH 44333-8395
Phone (330) 668-4085

437 Portage Trail
Cuyahoga Falls, OH 44221-3227
Phone (330) 929-9136

437 Portage TRL
Cuyahoga Falls, OH 44221-3227
Phone (330) 929-9136

4466 Fulton Dr NW
Canton, OH 44718-2864
Phone (833) 334-9007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
83.94
Promoting interoperability
100
Improvement activities
40
Cost
78.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.095229OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2013 Accepting new patients
Crystal Clinic Inc CurrentSince Aug 1, 2013 Accepting new patients
Crystal Clinic Orthopaedic Center, LLC Orthopaedic Surgery Past Accepting new patients
CC Bpci PLC Orthopaedic Surgery Past Accepting new patients

Locations

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

437 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 929-9136

3975 Embassy Pkwy
Ste 102
Fairlawn, OH 44333
Phone (330) 668-4050

1310 Corporate Dr
Hudson, OH 44236
Phone (330) 344-3030

2007 State Route 59
Kent, OH 44240
Phone (330) 673-1904

Interoperability endpoints

  • Direct secure messaging: edean36900@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1558535765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CORPORATE DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364441",
            "telephone_number": "330-475-1631",
            "fax_number": "330-475-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CORPORATE DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364441",
            "telephone_number": "330-475-1631",
            "fax_number": "330-475-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.095229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082293",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "PREWITT",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.