Organization Active NPI

Mary Ann Everhart-McDonald TT, Everhart-McDonald Physical Medicine

  • Rehabilitation Practitioner
  • Hillsboro, OH
National Provider Identifier
1649442005
Registry record updated Sep 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
35.052171 Issued in OH
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

Updated by the provider on Sep 18, 2016

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)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0905873MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.