ANGELA MARIE KOGUT (NPI# 1770657702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770657702 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE KOGUT |
| Credential | PAC |
| Practice Address |
3535 S Smith Rd Ste A Fairlawn OH 44333-9270 |
| Mailing Address |
3801 Santa Rosa Dr Kingman AZ 86401-2311 |
| Practice Telephone | 3302082720 |
| Practice Fax Number | 3302082721 |
| Mailing Telephone | 9287572101 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2259532 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1560 Corporate Woods Pkwy, Uniontown, OH 446858730 | 3302082720 | 3302082721 |
| 185 Wadsworth Rd, Rundle Building, Wadsworth, OH 442819585 | 3302082720 | 3302082721 |
| 3051 Graham Rd, Stow, OH 442243654 | 3302082720 | 3302082721 |
| 3780 Medina Rd Ste 110, Medina, OH 442569312 | 3302082720 | 3302082721 |
| 9150 Market Square Dr, Streetsboro, OH 442414571 | 3302082720 | 3302082721 |
| Street Address |
3535 S SMITH RD STE A |
| City | FAIRLAWN |
| State | OH |
| Zip Code | 44333-9270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538269105 | Stephanie J Whitling | Physician Assistant | 3535 S Smith Rd Ste A, Fairlawn, OH 44333-9270 | 2006-09-24 |
| 1407349020 | Mary Margaret Ondack | Social Worker | 3535 S Smith Rd Ste A, Fairlawn, OH 44333 | 2018-06-08 |
| 1346797685 | Kari Wahl | Registered Nurse | 3535 S Smith Rd Ste A, Fairlawn, OH 44333 | 2016-09-03 |
| 1356721963 | Sarah V Tokodi | Nurse Practitioner | 3535 S Smith Rd Ste A, Fairlawn, OH 44333-9270 | 2015-06-09 |
| 1568717064 | Sean Matthew Asp | Physical Therapist | 3535 S Smith Rd Ste A, Fairlawn, OH 44333-9270 | 2012-07-20 |
| 1821224767 | Justin Thomas Drummond | Anesthesiology | 3535 S Smith Rd Ste A, Fairlawn, OH 44333-9270 | 2009-06-05 |
| 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 |
| Find all providers in zip 44333 | ||||
| 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 |
|---|---|---|---|---|
| 1538269105 | Stephanie J Whitling | Physician Assistant | 3535 S Smith Rd Ste A, Fairlawn, OH 44333-9270 | 2006-09-24 |
| 1770551509 | Cortney Beth Bennett | Physician Assistant | 3009 Smith Road, Suite 200, Fairlawn, OH 44333-3766 | 2006-03-09 |
| 1962478032 | Terri Barnes L Barnes | Physician Assistant | 762 South Cleveland Massillon Rd, Fairlawn, OH 44333 | 2006-02-27 |
| 1184285645 | Mason Andrew Hartzler | Physician Assistant | 3378 W Market St, Fairlawn, OH 44333-3306 | 2019-06-25 |
| 1407331226 | Lisa Glauthier | Physician Assistant | 3632 Ridgewood Rd, Fairlawn, OH 44333-3124 | 2018-09-27 |
| 1063751386 | Karen Marie Dillard | Physician Assistant | 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 | 2013-02-06 |
| 1588822639 | Erica Lynn Gerstenmaier | Physician Assistant | 2651 W Market St, Fairlawn, OH 44333-4200 | 2008-05-27 |
| 1821280181 | Holly Nicole Zeller | Physician Assistant | 3535 S Smith Rd, Ste A, Fairlawn, OH 44333-9270 | 2007-08-10 |
| 1295729705 | Susan J Jakubek | Physician Assistant | 762 S Cleveland Massillon Rd, Fairlawn, OH 44333-3024 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750221 | Kathryn Eileen Aurand | Physician Assistant | 1020 E 346th St, Eastlake, OH 44095-2629 | 2020-11-06 |
| 1508467010 | Amanda Dawn Smith | Physician Assistant | 1621 Spruce St, Zanesville, OH 43701-2534 | 2020-11-03 |
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1083213946 | Breanne Lyon | Physician Assistant | 870 S Troy Ave, Cincinnati, OH 45246-4620 | 2020-10-21 |
| 1669071908 | Hannah Murrin | Physician Assistant | 4329 Marival Way, Mason, OH 45040-2867 | 2020-10-19 |
| 1861091241 | Beau Webb | Physician Assistant | 6017 Cruxten Dr, Dayton, OH 45424-3702 | 2020-10-18 |
| 1467051821 | Kelsey Nicole Weiss | Physician Assistant | 9025 Peacock Way Unit 206, West Chester, OH 45069-1659 | 2020-10-18 |
| 1215535489 | Caitlin Cahill | Physician Assistant | 2470 Merrybell Ct, Grove City, OH 43123-8724 | 2020-10-11 |
| 1174121461 | Thuy Lam Pham | Physician Assistant | 505 Brodywood Dr, Toledo, OH 43615-4589 | 2020-10-09 |
| 1508463506 | John Ronald Creighton | Physician Assistant | 7460 Marion St Apt B, Chesterhill, OH 43728-9613 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
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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.