Michell McDiffett, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003207 Issued in OH

Practice address

4200 Park Ave
Ashtabula, OH 44004-6895

Phone

(216) 280-4363

NPI assigned

Nov 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• Direct secure messaging: mmcdiffett327608@direct.ochin.org

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.

• Signature Health, Inc.

  • Mental Health Counselor
  • Garfield Heights, OH
  • NPI 1679767289
  Medicare reassignment NPD
• Signature Health Inc

  • Long Term Care Pharmacy
  • Willoughby, OH
  • NPI 1740502335
  NPD
• The North Coast Center

  • Community/Behavioral Health Agency
  • Ashtabula, OH
  • NPI 1043340946
  NPD (past)

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1033411889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 E 228TH ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172044",
            "telephone_number": "216-280-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PARK AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046895",
            "telephone_number": "216-280-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDIFFETT",
        "first_name": "MICHELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "003207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daviee McAbee
• MCC Therapies, LLC
• Eileen McClure
• Sean McCracken, PHARMD
• Rebecca Lee McCrone, RN
• Helen A McKinney
• Shonene McLaughlin
• Haylee McMahon, CDCA
• Deborah Mary McNeil, RN
• Lillian Marie McNultyl, OTR/L

• Medical Physician Assistant in Ashtabula, OH
• Providers in Ashtabula, 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 Nov 30, 2010; 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.