MICHAEL MIKITA (NPI# 1902454804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902454804 |
| Entity Type | Individual |
| Full Name | MICHAEL MIKITA |
| Practice Address |
2 Farm Colony Dr Warren PA 16365-5203 |
| Practice Telephone | 7164846700 |
| Practice Fax Number | 7166647275 |
| Mailing Telephone | 7164846700 |
| Mailing Fax Number | 7166647275 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 023972 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 06005494 | 05 | |
| PA | 103775178 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 E Columbus Ave, Corry, PA 164071340 | 7164846700 | 7164870166 |
| 1136 Central Ave, Dunkirk, NY 140483423 | 7164846700 | 7164870166 |
| 2223 W State St Ste 107, Olean, NY 147601938 | 7164846700 | 7164870166 |
| 2a Park Way, Seneca, PA 16346 | 7164846700 | 7164870166 |
| 462 Fairmount Ave, Jamestown, NY 147012721 | 7164846700 |
| Street Address |
2 FARM COLONY DR |
| City | WARREN |
| State | PA |
| Zip Code | 16365-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417930777 | Mark A Morici | Nurse Anesthetist, Certified Registered | 2 Farm Colony Dr, Warren, PA 16365-5206 | 2005-11-21 |
| 1477172138 | Matthew Richard Eernisse | Optometrist | 2 Farm Colony Dr, Warren, PA 16365-5203 | 2020-04-13 |
| 1639520943 | Lauren Theresa Moore | Optometrist | 2 Farm Colony Dr, Warren, PA 16365-5203 | 2016-06-28 |
| 1215317177 | Michael Thomas O'neill Jr. | Optometrist | 2 Farm Colony Dr, Warren, PA 16365-5206 | 2015-06-05 |
| 1881026862 | Lauren Keddie | Physical Therapist | 2 Farm Colony Dr, Warren, PA 16365-5206 | 2013-08-01 |
| 1851619167 | Michael Vincent Landy | Optometrist | 2 Farm Colony Dr, Warren, PA 16365-5206 | 2010-05-11 |
| 1962735530 | Darbee Rae Harrington | Physical Therapist | 2 Farm Colony Dr, Warren, PA 16365-5206 | 2009-09-14 |
| 1326296245 | Samantha Jenkins | Optometrist | 2 Farm Colony Dr, Warren, PA 16365-5206 | 2008-09-04 |
| 1396908877 | Juliette Marie Stenz | Ophthalmology | 2 Farm Colony Dr, Warren, PA 16365-5206 | 2008-07-06 |
| 1124060462 | Ralph G. Witchey Jr. | Optometrist | 2 Farm Colony Dr, Warren, PA 16365-5203 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| 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 |
|---|---|---|---|---|
| 1902421373 | Monique Mana | Physician Assistant | 28345 Marcia Ave, Warren, MI 48093-7209 | 2020-06-11 |
| 1790151264 | Mika Wexler Sachs | Physician Assistant | 11900 East 12 Mile Road, Suite 201, Warren, MI 48093 | 2015-08-19 |
| 1962832733 | Autumn Rancourt | Physician Assistant | 552 N Park Ave, Warren, OH 44481-1117 | 2013-11-15 |
| 1699012229 | Lynne Strachan | Physician Assistant | 28800 Ryan Rd Ste 320, Warren, MI 48092-4269 | 2013-01-16 |
| 1447508437 | Bradley L Grincewicz | Physician Assistant | 31700 Van Dyke Ave Ste 100, Warren, MI 48093-7951 | 2012-08-22 |
| 1821319633 | Lilana Lucaj | Physician Assistant | 26000 Hoover Rd Ste 102, Warren, MI 48089-1167 | 2010-06-15 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1275768392 | Meghan Alice Haley | Physician Assistant | 3990 E. 12 Mile Rd., Warren, MI 48092 | 2009-05-19 |
| 1659555621 | Sakina Hakim | Physician Assistant | 28800 Ryan Road, Warren, MI 48092 | 2007-12-26 |
| 1699976464 | Kathleen O'reilly | Physician Assistant | 283 King George Rd, Warren, NJ 07059-5134 | 2007-05-30 |
| Find all providers in WARREN | ||||
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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.