DR. JASON DEAN EIDAHL M.D. NPI 1003015066

Emergency Medicine in Akron, OH

NPI 1003015066 Individual Male Emergency Medicine PECOS Enrolled

About JASON EIDAHL

Jason Eidahl is a provider established in Akron, Ohio and his medical specialization is emergency medicine. The NPI number of Jason Eidahl is 1003015066 and was assigned on July 2007. The practitioner's primary taxonomy code is 207P00000X with license number 35.092047 (OH). The provider is registered as an individual and his NPI record was last updated 13 years ago.

Jason Eidahl is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jason Eidahl is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003015066

Provider NameDR. JASON DEAN EIDAHL M.D.
Provider Location Address525 E MARKET ST AKRON, OH 44304
Provider Mailing Address1597 AMERICAN BEAUTY LN COLUMBUS, OH 43240
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-11-2007
Last Update Date08-04-2008


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.35.092047
License StateOH
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. JASON DEAN EIDAHL M.D.
525 E MARKET ST
AKRON, OH
ZIP 44304
Phone: (330) 375-3000

Get Directions


Mailing Address

DR. JASON DEAN EIDAHL M.D.
1597 AMERICAN BEAUTY LN
COLUMBUS, OH
ZIP 43240
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427050962DR. JEFFREY UNGER M.D.
Individual
Radiology (Diagnostic Radiology)525 E MARKET ST
AKRON, OH 44304
(330) 375-3043
1245229889 PARS RAVICHANDRAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)525 E MARKET ST
AKRON, OH 44304
(330) 375-3785
1760472534MR. DAVID MICHAEL BOYER R.PH.
Individual
Pharmacist525 E MARKET ST PHARMACY DEPT
AKRON, OH 44304
(330) 375-3375
1679563555DR. STEPHANIE CLAIRE PESHEK PHARMD
Individual
Pharmacist525 E MARKET ST PHARMACY
AKRON, OH 44304
(330) 375-3371
1184608507DR. DIANE L PRETORIUS MD
Individual
Radiology (Body Imaging)525 E MARKET ST AKRON RADIOLOGY INC
AKRON, OH 44304
(330) 375-4028
1033193453MR. KENNETH WILLIAM MOSS RPH
Individual
Pharmacist525 E MARKET ST
AKRON, OH 44304
(330) 375-3150
1316922768 NICHOLAS EMANUEL NACKES MD
Individual
Internal Medicine (Critical Care Medicine)525 E MARKET ST STE 1N
AKRON, OH 44304
(330) 375-3588
1730164187 GWENDOLYN DOTTS HUGHES MD
Individual
Internal Medicine525 E MARKET ST SUITE 1N
AKRON, OH 44304
(330) 375-3588
1649255795 JAMES ALLEN WILSON MD
Individual
Internal Medicine (Critical Care Medicine)525 E MARKET ST SUITE 1N
AKRON, OH 44304
(330) 375-3588
1487639456 BRADLEY RENE MARTIN MD
Individual
Internal Medicine (Critical Care Medicine)525 E MARKET ST SUITE 1N
AKRON, OH 44304
(330) 375-3588
1457338105 JEFFREY RICHARD WELKO MD
Individual
Internal Medicine (Critical Care Medicine)525 E MARKET ST SUITE 1N
AKRON, OH 44304
(330) 375-3588
1336116292 TIMOTHY E DRAKE M.D.
Individual
Obstetrics & Gynecology525 E MARKET ST ANNEX 3
AKRON, OH 44304
(330) 375-4844
1972564029DR. RAYMOND E CLARKE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)525 E MARKET ST
AKRON, OH 44304
(330) 375-3786
1063474591DR. WILLIAM ARTHUR HENTHORNE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)525 E MARKET ST
AKRON, OH 44304
(330) 375-3786
1114989654DR. CAROLINE MITCHELL ABRAMOVICH MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)525 E MARKET ST
AKRON, OH 44304
(330) 375-3786
1912969452DR. LI HUANG
Individual
Pathology (Hematology)525 E MARKET ST
AKRON, OH 44304
(330) 375-3786
1477517126 ANN M BROCKERT CNP
Individual
Nurse Practitioner (Acute Care)525 E MARKET ST ANNEX 3
AKRON, OH 44304
(330) 375-7512
1861456360 JOE M HOLCOMB M.D.
Individual
Radiology (Diagnostic Radiology)525 E MARKET ST
AKRON, OH 44304
(216) 233-4709
1982668109 LISA M HENSLEY APN
Individual
Nurse Practitioner525 E MARKET ST ANNEX 3
AKRON, OH 44304
(330) 375-7512
1720036056 RODNEY P MYERSCOUGH PHD
Individual
Psychologist525 E MARKET ST ANNEX 3
AKRON, OH 44304
(330) 375-7512

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.