Individual provider Active NPI

Lindsey Hammett Loonkishu, PA-C

  • Physician Assistant
  • Dayton, OH
National Provider Identifier
1023255387
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002806 Issued in OH
Practice address
8290 Old Troy Pike Ste 40a
Dayton, OH 45424-1056
Phone
(937) 208-4100
Fax
(937) 208-4107
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.002806 OH
Physician Assistant 363A00000X 55.000538 OH
Medical Physician Assistant 363AM0700X 54.000538 OH
Physician Assistant 363A00000X 50.002806 OH Primary

Addresses

Primary practice location

8290 Old Troy Pike Ste 40a
Dayton, OH 45424-1056

Mailing address

3170 Kettering Blvd BLDG B2ND
Moraine, OH 45439-1924

Other practice location 1

135 W Dorothy Ln
Kettering, OH 45429-1489
Phone (937) 208-0300

Other practice location 2

2484 N Fairfield Rd
Beavercreek, OH 45431-3539
Phone (937) 208-8170

Other practice location 3

6071 Far Hills Ave
Centerville, OH 45459-1923
Phone (937) 208-6887

Other practice location 4

280 Looney Rd Ste 107
Piqua, OH 45356-4199
Phone (937) 440-7683

Other practice location 5

752 N Main St
Springboro, OH 45066-8944
Phone (937) 208-6865

Other practice location 6

1130 S Main St
Englewood, OH 45322-2819
Phone (937) 208-6879

Other practice location 7

2484 N Fairfield Rd
Beavercreek, OH 45431-3539
Phone (937) 208-8170

Other practice location 8

1843 W Main St
Troy, OH 45373-2303
Phone (937) 208-4120

Other identifiers 1

IdentifierTypeStateIssuer
50.002806OtherOHSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000074 OH Practitioner - Physician Assistant 2163604174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Urgent Care, Inc.Group PAC ID 3870848088, 39 clinicians

Practice addresses (Care Compare)

135 W Dorothy LN
Kettering, OH 45429-1489
Phone (937) 208-0300

6071 Far Hills Ave
Centerville, OH 45459-1923
Phone (937) 208-6887

752 N Main St
Springboro, OH 45066-8944
Phone (937) 208-6865

8 Prestige Plaza Dr
Suite 107
Miamisburg, OH 45342-7304
Phone (937) 208-6871

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
79.22
Promoting interoperability
100
Improvement activities
40
Cost
82.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.002806OHMDPhysician Assistant
55.000538OHMDPhysician Assistant
54.000538OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Jun 29, 2015 Accepting new patients
Mvhe Inc Physician Assistant CurrentSince Jun 29, 2015 Accepting new patients
Uvpc Specialists Inc. Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

111 Harbert Dr
Dayton, OH 45440
Phone (937) 208-7575

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1023255387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B2ND",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 OLD TROY PIKE STE 40A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454241056",
            "telephone_number": "937-208-4100",
            "fax_number": "937-208-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 W Dorothy Ln",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291489",
            "country_code": "US",
            "telephone_number": "937-208-0300",
            "fax_number": "937-208-0302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2484 N Fairfield Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454313539",
            "country_code": "US",
            "telephone_number": "937-208-8170",
            "fax_number": "937-208-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6071 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591923",
            "country_code": "US",
            "telephone_number": "937-208-6887",
            "fax_number": "937-208-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Looney Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Piqua",
            "state": "OH",
            "postal_code": "453564199",
            "country_code": "US",
            "telephone_number": "937-440-7683",
            "fax_number": "937-440-7687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "752 N Main St",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450668944",
            "country_code": "US",
            "telephone_number": "937-208-6865",
            "fax_number": "937-208-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 S Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222819",
            "country_code": "US",
            "telephone_number": "937-208-6879",
            "fax_number": "937-208-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2484 N Fairfield Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454313539",
            "country_code": "US",
            "telephone_number": "937-208-8170",
            "fax_number": "937-208-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1843 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732303",
            "country_code": "US",
            "telephone_number": "937-208-4120",
            "fax_number": "937-208-4126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOONKISHU",
        "first_name": "LINDSEY",
        "middle_name": "HAMMETT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.002806",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "55.000538",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "54.000538",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "50.002806",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.