CHANCE WILLIAM MITAN (NPI# 1396255766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396255766 |
| Entity Type | Individual |
| Full Name | CHANCE WILLIAM MITAN |
| Credential | MPAS, PA-C |
| Practice Address |
3975 Embassy Pkwy Akron OH 44333-8320 |
| Mailing Address |
7871 Brinker St Sw Navarre OH 44662-9027 |
| Practice Telephone | 3306684040 |
| Practice Fax Number | 3306684078 |
| Mailing Telephone | 3307053280 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.005311RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1622 E Turkeyfoot Lake Rd Ste 200, Akron, OH 443125277 | 3306447436 | 3306440167 |
| Street Address |
3975 EMBASSY PKWY |
| City | AKRON |
| State | OH |
| Zip Code | 44333-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818038 | Crystal Clinic Surgery Center, Inc. | Clinic/Center | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2005-08-17 |
| 1659980431 | Baylee Marie Burns | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2020-07-28 |
| 1881138063 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 003, Akron, OH 44333-8320 | 2016-12-07 |
| 1144762600 | Mallory Ann Lorence | Specialist/Technologist | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2016-11-14 |
| 1235687161 | Marissa Rokicki | Nurse Anesthetist, Certified Registered | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2016-09-20 |
| 1952769713 | Nicole D'amico | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2016-02-08 |
| 1831572742 | Blake Schmucker | Specialist/Technologist | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2015-07-09 |
| 1023434552 | Kodi Veale | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2014-03-07 |
| 1982030326 | Michelle M Kilbane | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2013-09-17 |
| 1336495308 | Brandy M Mansfield | Nurse Practitioner | 3975 Embassy Pkwy, Ste 102, Akron, OH 44333-8320 | 2012-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952934358 | Lauren Asman | Physician Assistant | 3975 Embassy Pkwy Ste 102, Akron, OH 44333-8335 | 2020-02-14 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1013422377 | Brittany Johnson | Physician Assistant | 1622 E Turkeyfoot Lake Rd Ste 201, Akron, OH 44312-5277 | 2017-12-08 |
| 1700328358 | Allison Orf | Physician Assistant | 1037 North Main Street, Suite A, Akron, OH 44310-1453 | 2016-11-14 |
| 1780016493 | Deborah K Calderwood | Physician Assistant | 1 Akron General Ave. Building 301, Floor 2, Akron, OH 44307 | 2013-08-05 |
| 1417112590 | Summa Physicians Inc | Physician Assistant | 95 Arch St Ste 240, Akron, OH 44304-1496 | 2008-07-28 |
| 1417124314 | Jennifer Jo Portmann | Physician Assistant | 762 S. Cleveland-massillon Rd., Akron, OH 44333 | 2008-05-11 |
| 1689628505 | Calvin P Davis Jr. | Physician Assistant | 3975 Embassy Pkwy Ste 3, Akron, OH 44333-8320 | 2006-05-22 |
| 1972568046 | Jennifer A Theis | Physician Assistant | 3333 Massillon Rd Ste 102, Akron, OH 44312-5982 | 2006-04-20 |
| 1558324996 | Robert W Watson Jr. | Physician Assistant | 321 Mill St, Akron, IA 51001 | 2006-04-07 |
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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.