Individual provider Active NPI

Marvin R. McCreary, M.D.

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1780662270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-075109 Issued in OH
Practice address
750 Mount Carmel Mall
Suite 300
Columbus, OH 43222-1553
Phone
(614) 224-6420
Fax
(614) 224-6423
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

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
Emergency Medicine Physician 207P00000X 35-075109 OH Primary

Addresses

Primary practice location

750 Mount Carmel Mall
Suite 300
Columbus, OH 43222-1553

Mailing address

PO Box 713189
Columbus, OH 43271-3189
Phone (440) 777-6017

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
I20111123000223 OH Practitioner - Emergency Medicine 0446424733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Emergency Group, LLCGroup PAC ID 7810233517, 42 clinicians

Practice addresses (Care Compare)

1365 N Lexington Springmill Rd
Ontario, OH 44906-1126
Phone (419) 520-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
84.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-075109OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Emergency Services, LLC Emergency Medicine CurrentSince Dec 25, 2022 Accepting new patients
Emergency Services, Inc. Emergency Medicine CurrentSince Jul 1, 2000 Accepting new patients
Emergency Services, Inc. Emergency Medicine CurrentSince Jul 1, 2000 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients

Locations

1720 Ohiohealth Way
Ashland, OH 44805
Phone (567) 309-4000

7911 Diley Rd
Canal Winchester, OH 43110
Phone (614) 838-7911

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

2323 W 5th St
Ste 225
Columbus, OH 43204
Phone (614) 224-6420

3000 Meadow Pond Ct
Ste 200
Grove City, OH 43123
Phone (614) 871-7130

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780662270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713189",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432713189",
            "telephone_number": "440-777-6017",
            "fax_number": "440-777-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-224-6420",
            "fax_number": "614-224-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "MARVIN",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-075109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.