Mary Eilert

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.008201 Issued in OH

Practice address

7456 Epaulet LN
Maumee, OH 43537-8944

Phone

(567) 868-5532

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1851024566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 EPAULET LN",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435378944",
            "telephone_number": "567-868-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 EPAULET LN",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435378944",
            "telephone_number": "567-868-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILERT",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eilertm@findlay.edu",
            "affiliation": "N",
            "address_1": "7456 Epaulet Ln",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435378944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Jeffrey Earle, MAE; MRC; LPCC
• Edp of Ohio, PC
• Jazmine M Edwards, RN
• Alexia Ehrsam, RBT
• Regina Suzanne Eich, M.D.
• Peggy Eitzman, PTA
• Mohammad Mahmoud El Sayyad, M.D.
• Marwa El-Bohy, M.D.
• Lorrie Ann Elchert, NURSE PARCTITIONER
• Elia Acuna DC LLP

• Physician Assistant in Maumee, OH
• Providers in Maumee, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.