Ethan R Meyer

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.008644RX Issued in OH

Practice address

110 Dublin Dr
Dover, OH 44622-7805

Phone

(330) 674-5090

NPI assigned

Dec 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holmes Family Medicine IncGroup PAC ID 0042104531, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pomerene Hospital Hospital, Millersburg, OH, CCN 360148
• Union Hospital Hospital, Dover, OH, CCN 360010
• Pomerene Hospital Hospital, Millersburg, OH, CCN 361337
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ethanmeyer@hfmi.allscriptsdirect.net

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.

• Holmes Family Medicine, Inc

  • Family Medicine Physician
  • Millersburg, OH
  • NPI 1831200773
  Medicare reassignment Care Compare group
• Wooster Obstetrics & Gynecology Inc

  • Obstetrics & Gynecology Physician
  • Wooster, OH
  • NPI 1003807470
  NPD (past)

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

• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation
• The Union Hospital Association

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1942912191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DUBLIN DR STE A",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446227805",
            "telephone_number": "330-364-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DUBLIN DR",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446227805",
            "telephone_number": "330-674-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ETHAN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008644RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Meiler, DO
• Melanie L Pence DO LLC
• Megan Leah Melzacki
• Danielle Menges, NP
• Mellisa Metz
• Mid American Imaging, Inc.
• David Anthony Migliore, D.D.S.
• Terrance A Migliore, DC
• Miguel a Bravo MD Surgical Associates Inc
• John Michael Milburn, R.N.

• Physician Assistant in Dover, OH
• Providers in Dover, 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 27, 2024; 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.

Verify at the official NPI Registry.