Active NPI
Eva Carol Pickler, M.D.
- Obstetrics & Gynecology Physician
- Damascus, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0080723
- Practice address
- 26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892 - Phone
- (301) 414-2300
- Fax
- (301) 414-0476
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD36124 | TN | |
| Obstetrics & Gynecology Physician | 207V00000X | 0101840547 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | D0080723 | MD | Primary |
Addresses
Primary practice location
26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892
Mailing address
21988 Willisville Rd
Upperville, VA 20184-3124
Phone (423) 534-5919
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4086863 | Other | TN | BCBS OF TENNESSEE |
| 3718898 | Medicaid | TN | |
| 2547516 | Other | TN | CIGNA |
| 79065K7 | Medicaid | NC | |
| TN0105 | Other | TN | JOHN DEERE INSURANCE CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Boston University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD36124 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fauquier Physician Practices LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Capital Women'S Care, L.L.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Capital Women'S Care, L.L.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Simmonds, Martin & Helmbrecht, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Optimal Health for Women, M.PLLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120
61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144
19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
550 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5940
500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000
Interoperability endpoints
- eva.pickler.p1@direct.cwcare.nextgenshare.com
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Fulton, MD
- NPI 1679534069
-
- Internal Medicine Physician
- Warrenton, VA
- NPI 1770916983
Obstetrics & Gynecology
-
- Clinic/Center
- Upperville, VA
- NPI 1669805230
-
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1093766289
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1861461758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21988 WILLISVILLE RD",
"city": "UPPERVILLE",
"state": "VA",
"postal_code": "201843124",
"telephone_number": "423-534-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26005 RIDGE RD",
"address_2": "SUITE 200",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208721892",
"telephone_number": "301-414-2300",
"fax_number": "301-414-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKLER",
"first_name": "EVA",
"middle_name": "CAROL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD36124",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101840547",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0080723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "4086863",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3718898",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2547516",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79065K7",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE INSURANCE CO",
"identifier": "TN0105",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Damascus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.
- 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.