NPIMap

Individual provider Active NPI

Michelle Mackey-Sawyer, M.D

  • Family Medicine Physician
  • Broadview HTS, OH
National Provider Identifier
1801891163
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35071211 Issued in OH
Practice address
2001 E Royalton Rd
Broadview HTS, OH 44147-2811
Phone
(440) 717-6100
Fax
(440) 546-1382
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35071211 OH Primary

Addresses

Primary practice location

2001 E Royalton Rd
Broadview HTS, OH 44147-2811

Mailing address

2001 E Royalton Rd
Broadview HTS, OH 44147-2811
Phone (440) 717-6100

Other identifiers 1

IdentifierTypeStateIssuer
2006984MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000350 OH Practitioner - Family Practice 5294870796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Broadview Heights Family Medicine, IncGroup PAC ID 2567420508, 3 clinicians

Practice addresses (Care Compare)

2001 E Royalton Rd
Suite C
Broadview Heights, OH 44147-2811
Phone (440) 717-6100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Broadview Heights Family Medicine, Inc Family Medicine CurrentSince Aug 1, 2001 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2001 E Royalton Rd
Ste C
Broadview Heights, OH 44147
Phone (440) 717-6100

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

8075 Town Centre Dr
Ste E
Broadview Hts, OH 44147
Phone (440) 717-6100

Interoperability endpoints

  • Direct secure messaging: mmackeysawyer37484@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1801891163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E ROYALTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472811",
            "telephone_number": "440-717-6100",
            "fax_number": "440-546-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E ROYALTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472811",
            "telephone_number": "440-717-6100",
            "fax_number": "440-546-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY-SAWYER",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35071211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006984",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

Verify at the official NPI Registry.