Individual provider Active NPI

Thomas D. Eppright, M.D.

  • Child & Adolescent Psychiatry Physician
  • Shaker Heights, OH
National Provider Identifier
1629110358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35.075791 Issued in OH
Practice address
3160 Courtland Blvd
Shaker Heights, OH 44122-2808
Phone
(216) 991-6868
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 35.075791 OH Primary

Addresses

Primary practice location

3160 Courtland Blvd
Shaker Heights, OH 44122-2808

Mailing address

3160 Courtland Blvd
Shaker Heights, OH 44122-2808
Phone (216) 991-6868

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160307002506 OH Order and Referring Only - PsychiatryPractitioner - Psychiatry 2264461292

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629110358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 COURTLAND BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222808",
            "telephone_number": "216-991-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 COURTLAND BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222808",
            "telephone_number": "216-991-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPRIGHT",
        "first_name": "THOMAS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.075791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

Verify at the official NPI Registry.