MICHELL MCDIFFETT (NPI# 1033411889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033411889 |
| Entity Type | Individual |
| Full Name | MICHELL MCDIFFETT |
| Credential | PA-C |
| Practice Address |
4200 Park Ave Ashtabula OH 44004-6895 |
| Mailing Address |
1996 E 228th St Euclid OH 44117-2044 |
| Practice Telephone | 2162804363 |
| Mailing Telephone | 2162804363 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003207 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4200 PARK AVE |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-6895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841692472 | Jennifer Miller | Licensed Practical Nurse | 4200 Park Ave, Ashtabula, OH 44004-6895 | 2014-09-26 |
| 1215182845 | Ronald Jon Seigman | Counselor | 4200 Park Ave, 2nd Fl, Ashtabula, OH 44004-6895 | 2008-11-24 |
| 1710153697 | Barbara E Padgett | Social Worker | 4200 Park Ave, Second Floor, Ashtabula, OH 44004-6895 | 2008-05-01 |
| 1275738551 | Wayne S. Knesebeck | Specialist | 4200 Park Ave, 3rd Floor, Ashtabula, OH 44004-6887 | 2007-06-18 |
| 1255546081 | Janet Phyllis Fowkes | Social Worker | 4200 Park Ave, North Coast Center Floor 2, Ashtabula, OH 44004 | 2007-05-14 |
| 1801016951 | Samar Said El Sayegh | Psychiatry & Neurology | 4200 Park Ave, 2nd Floor The Northcoast Center, Ashtabula, OH 44004 | 2007-04-30 |
| 1346362563 | Melissa Diane Fields | Social Worker | 4200 Park Ave, Ashtabula, OH 44004-6887 | 2007-04-06 |
| 1043340946 | The North Coast Center | Community/Behavioral Health | 4200 Park Ave, The North Coast Center, Ashtabula, OH 44004 | 2007-03-07 |
| 1881739159 | Kathleen C Bobulsky | Social Worker | 4200 Park Ave, Ashtabula, OH 44004-6887 | 2007-02-21 |
| 1215076047 | Deryl Sterling Nazor | Social Worker | 4200 Park Ave, 3rd Floor, Ashtabula, OH 44004-6887 | 2007-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942446364 | Henry Joseph Kobrinski Jr. | Physician Assistant | 1218 Norwood Dr, Ashtabula, OH 44004-2362 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
| 1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
| 1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
| 1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
| 1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
| 1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
| 1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
| 1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.