Active NPI
Earl Edwin Conaway Jr., M.D.
- Family Medicine Physician
- Cambridge, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-050964
- Practice address
- 1198 Clark St
Cambridge, OH 43725-1636 - Phone
- (740) 432-6012
- Fax
- (740) 435-8552
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-050964 | OH | Primary |
Addresses
Primary practice location
1198 Clark St
Cambridge, OH 43725-1636
Mailing address
1198 Clark St
Cambridge, OH 43725-1636
Phone (740) 432-6012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0626719 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Toledo Medical College, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 Maple Dr
Cambridge, OH 43725-1162
Phone (740) 455-3304
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-050964 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Cambridge Inc. | Current | Accepting new patients | |
| Medical Home Primary Care Center | Family Medicine | Current | Accepting new patients |
Locations
1515 Maple Dr
Cambridge, OH 43725
Phone (740) 439-3515
3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248
Interoperability endpoints
- earl.conawayjr.p1@direct.pgseo.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Southeastern Home Care LLC | Home health agency | Corporate Officer | Jan 1, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Zanesville, OH
- NPI 1528177730
-
- Internal Medicine Physician
- Cambridge, OH
- NPI 1295879393
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1578870911
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Outpatient Pharmacy
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1477150951
Hospital
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
dba Genesis Outpatient Pharmacy 1C
- Community/Retail Pharmacy
- Coshocton, OH
- NPI 1710839436
Hospital
-
- Rural Acute Care Hospital
- Cambridge, OH
- NPI 1346247350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699845867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1198 CLARK ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437251636",
"telephone_number": "740-432-6012",
"fax_number": "740-435-8552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1198 CLARK ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437251636",
"telephone_number": "740-432-6012",
"fax_number": "740-435-8552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONAWAY",
"first_name": "EARL",
"middle_name": "EDWIN",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-050964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0626719",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.