DR. ANGELA BETH ECHEVERRIA PHARM.D. M.D. NPI 1306157078

NPI Information

NPI: 1306157078
Provider Name: DR. ANGELA BETH ECHEVERRIA, PHARM.D., M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: PREMIER HEALTH SPECIALISTS INC

PECOS Registration: Yes

Address:
2350 MIAMI VALLEY DR
CENTERVILLE, OH
ZIP 45459
Phone: (937) 438-8640
Get Directions

DR. Angela Beth Echeverria, PHARM.D., M.D. is a vascular surgery surgery in Centerville, OH with 15 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Angela Beth Echeverria, PHARM.D., M.D. NPI is 1306157078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2350 MIAMI VALLEY DR
CENTERVILLE, OH
ZIP 45459-778
Phone: (937) 438-8640
Fax: (937) 438-8615

The NPI 1306157078 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2010 and was last updated on 10/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		R72234	ARIZONA	No
2	208600000X	Surgery		ME129595	FLORIDA	No
3	2086S0129X	Surgery	Vascular Surgery	35.140245	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0412130	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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