Individual provider Active NPI

Erin Marie Maley McIntosh, MD

  • Pediatrics Physician
  • Bellefontaine, OH
National Provider Identifier
1639331911
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.093238 Issued in OH
Practice address
118 Dowell Ave
Bellefontaine, OH 43311-2305
Phone
(937) 593-5437
Fax
(937) 593-0110
NPI assigned
Jun 27, 2008
Last updated
Oct 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.093238 OH Primary

Addresses

Primary practice location

118 Dowell Ave
Bellefontaine, OH 43311-2305

Mailing address

118 Dowell Ave
Bellefontaine, OH 43311-2305
Phone (937) 593-5437

Other identifiers 1

IdentifierTypeStateIssuer
3048188MedicaidOH

Other names 1

  • Erin M Maley Former name

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
I20210603002130 OH Practitioner - Pediatric Medicine 4688073174 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.093238OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Apr 19, 2021 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Mary Rutan Hospital Pediatrics CurrentSince Apr 19, 2021 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

118 Dowell Ave
Bellefontaine, OH 43311
Phone (937) 593-5437

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

120 W Main St
Russells Point, OH 43348
Phone (937) 292-5024

1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500

Interoperability endpoints

  • Direct secure messaging: erin.maley@maryrutan.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1639331911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DOWELL AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112305",
            "telephone_number": "937-593-5437",
            "fax_number": "937-593-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DOWELL AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112305",
            "telephone_number": "937-593-5437",
            "fax_number": "937-593-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "ERIN",
        "middle_name": "MARIE MALEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.093238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3048188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MALEY",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.