Individual provider Active NPI

Eric Alan Pickrell, MD

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1972941045
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11017241 Issued in IN
Practice address
2100 W Central Ave
#200
Toledo, OH 43606-3800
Phone
(419) 291-2051
Fax
(419) 479-6952
NPI assigned
Jun 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11017241 IN Primary

Addresses

Primary practice location

2100 W Central Ave
#200
Toledo, OH 43606-3800

Mailing address

2100 W Central Ave
#200
Toledo, OH 43606-3800
Phone (419) 291-2051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170925001292 IN Practitioner - Sports MedicinePractitioner - Family Practice 7113143207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians

Practice addresses (Care Compare)

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326
  • Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11017241INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic, LLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Union Associated Physicians Clinic LLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646

4601 S 7th St
Terre Haute, IN 47802
Phone (812) 232-3281

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

Interoperability endpoints

  • Direct secure messaging: epickrell@unionhealth.cernerdirect.com

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1972941045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CENTRAL AVE",
            "address_2": "#200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063800",
            "telephone_number": "419-291-2051",
            "fax_number": "419-479-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CENTRAL AVE",
            "address_2": "#200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063800",
            "telephone_number": "419-291-2051",
            "fax_number": "419-479-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRELL",
        "first_name": "ERIC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11017241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.