Individual provider Active NPI

Emily Rose Waight, PA C

  • Physician Assistant
  • Canton, OH
National Provider Identifier
1942685904
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004391 Issued in OH
Practice address
4048 Dressler Rd NW
Canton, OH 44718-2784
Phone
(330) 494-2097
Fax
(330) 494-9750
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004391 OH Primary

Addresses

Primary practice location

4048 Dressler Rd NW
Canton, OH 44718-2784

Mailing address

4048 Dressler Rd NW
Canton, OH 44718-2784
Phone (330) 494-2097

Other practice location 1

830 S Main St Ste 4
Orrville, OH 44667-2291
Phone (330) 494-2097

Other names 1

  • Emily Rose Schultz Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818004269 OH Practitioner - Physician Assistant 1355655465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurocare Center, Inc.Group PAC ID 5294712188, 9 clinicians

Practice addresses (Care Compare)

830 S Main St
Suite 4
Orrville, OH 44667-2291
Phone (330) 494-2097

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.75 of 100Reported as group
Quality
97.99
Promoting interoperability
99
Improvement activities
40
Cost
74.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004391OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurocare Sleep Center CurrentSince Jul 7, 2015 Accepting new patients
Mono Medical Care, Inc. PastSince Mar 20, 2008 Accepting new patients

Locations

1652 S Union Ave
Alliance, OH 44601
Phone (330) 823-2150

4105 Holiday St NW
Canton, OH 44718
Phone (330) 332-0711

4048 Dressler Rd NW
Ste 100
Canton, OH 44718
Phone (330) 479-3333

830 S Main St
Ste 4
Orrville, OH 44667

Interoperability endpoints

  • Direct secure messaging: emily.waight.1@22081.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/22081/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1942685904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182784",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182784",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Orrville",
            "state": "OH",
            "postal_code": "446672291",
            "country_code": "US",
            "telephone_number": "330-494-2097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAIGHT",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SCHULTZ",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.