Kodi Veale, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.004003RX Issued in OH

Practice address

3975 Embassy Pkwy
Akron, OH 44333-8320

Phone

(330) 668-4040

Fax

(330) 668-4078

NPI assigned

Mar 7, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Crystal Clinic Orthopaedic Center LLC

  • Special Hospital
  • Akron, OH
  • NPI 1669669917
  Medicare reassignment NPD
• Crystal Clinic, Inc.

  • Orthopaedic Surgery Physician
  • Akron, OH
  • NPI 1619906914
  Medicare reassignment
• Crystal Clinic Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Akron, OH
  • NPI 1063966042
  NPD
• Crystal Clinic Orthopaedic Center LLC

  • Special Hospital
  • Akron, OH
  • NPI 1811651508

  Physician Assistant

  NPD
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Akron, OH
  • NPI 1053558056
  NPD (past)

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1023434552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 EMBASSY PKWY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338320",
            "telephone_number": "330-668-4040",
            "fax_number": "330-668-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 EMBASSY PKWY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338320",
            "telephone_number": "330-668-4040",
            "fax_number": "330-668-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEALE",
        "first_name": "KODI",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.004003",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004003RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099147",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Takeya Vaughn
• David Alexander Vavrinak Davis, DO
• Tammy Vazquez
• Crystal Veal-Brown
• Yulita Veal
• Gail Marilyn Vechik
• Kenneth D Vechik, CRNA
• Ganesh Raman Veerappan, MD
• Bianca Vega
• Joshua Vega

• Medical Physician Assistant in Akron, OH
• Providers in Akron, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.