Active NPI
Michael P. Tricaso, D.O.
- Emergency Medicine Physician
- Oberlin, OH
National Provider Identifier
1922078658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34-00-7428-T
- Practice address
- 200 W Lorain St
Oberlin, OH 44074-1026 - Phone
- (440) 775-1211
- Fax
- (440) 775-9118
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Lodi, OH
- NPI 1457390312
Emergency Medicine
-
- Emergency Medicine Physician
- Mansfield, OH
- NPI 1952341380
Emergency Medicine
-
- Emergency Medicine Physician
- Massillon, OH
- NPI 1902846371
Emergency Medicine
-
- Emergency Medicine Physician
- Cuyahoga Falls, OH
- NPI 1295713964
Emergency Medicine
-
- Emergency Medicine Physician
- Akron, OH
- NPI 1821055856
Emergency Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Medina County, LTD | Emergency Medicine | Past | Accepting new patients |
| General Emergency Medical Specialists, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Richland County, LTD | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio, Inc. | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio, Inc. | Emergency Medicine | Past | Accepting new patients |
| ER-Doc Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Stark County, LTD | Emergency Medicine | Past | Accepting new patients |
| Falls Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34-00-7428-T | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
200 W Lorain St
Oberlin, OH 44074-1026
Mailing address
PO Box 65274
Charlotte, NC 28265-0274
Phone (800) 377-8721
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5619197341B87 | Other | OH | BLUECROSS BLUESHIELD |
| 2196798 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2007.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1922078658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65274",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282650274",
"telephone_number": "800-377-8721",
"fax_number": "304-523-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W LORAIN ST",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440741026",
"telephone_number": "440-775-1211",
"fax_number": "440-775-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRICASO",
"first_name": "MICHAEL",
"middle_name": "P.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34-00-7428-T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "5619197341B87",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2196798",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oberlin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.