Active NPI
Mary Ann Everhart-McDonald TT, Everhart-McDonald Physical Medicine
- Rehabilitation Practitioner
- Hillsboro, OH
National Provider Identifier
1649442005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 35.052171
- Legal business name
- MARY ANN EVERHART-MCDONALD TT, EVERHART-MCDONALD PHYSICAL MEDICINE
- Practice address
- 1121 Northview Dr
Suite 2
Hillsboro, OH 45133-6316 - Phone
- (937) 840-9200
- Fax
- (937) 840-9205
- NPI assigned
- Mar 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Garald W McDonald
- Title
- Office Manager
- Phone
- (937) 840-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 35.052171 | OH | Primary |
Addresses
Primary practice location
1121 Northview Dr
Suite 2
Hillsboro, OH 45133-6316
Mailing address
1121 Northview Dr
Suite 2
Hillsboro, OH 45133-6316
Phone (937) 840-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0905873 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474156800000",
"number": "1649442005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 NORTHVIEW DR",
"address_2": "SUITE 2",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451336316",
"telephone_number": "937-840-9200",
"fax_number": "937-840-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 NORTHVIEW DR",
"address_2": "SUITE 2",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451336316",
"telephone_number": "937-840-9200",
"fax_number": "937-840-9205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY ANN EVERHART-MCDONALD TT, EVERHART-MCDONALD PHYSICAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-26",
"last_updated": "2016-09-18",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "GARALD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "937-840-9200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": "OH",
"license": "35.052171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0905873",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.