Individual provider Active NPI

Theresa Marie Mizer, CNP

  • Women's Health Nurse Practitioner
  • Steubenville, OH
National Provider Identifier
1083793137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
01843 Issued in OH
Practice address
217 Washington St
Steubenville, OH 43952-2122
Phone
(740) 282-5676
Fax
(740) 284-1640
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 01843 OH Primary

Addresses

Primary practice location

217 Washington St
Steubenville, OH 43952-2122

Mailing address

213 W Market St
Cadiz, OH 43907-1109
Phone (740) 942-2034

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
I20081231000111 OH Practitioner - Nurse Practitioner 7810059763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel J Cain DO IncGroup PAC ID 1254490857, 2 clinicians

Practice addresses (Care Compare)

123 3Rd Sest
Massillon, OH 44646-6606

123 3Rd St SE
Massillon, OH 44646-6606
Phone (330) 832-2229

123 3Rd St SW
Massillon, OH 44646-6606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
150835OHMDAddiction (Substance Use Disorder) Counselor
01843OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Cain DO Inc CurrentSince May 25, 2013 Accepting new patients

Locations

123 3rd St SE
Massillon, OH 44646
Phone (330) 832-2229

Interoperability endpoints

  • Direct secure messaging: theresamizercnp@drdanielcain.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083793137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W MARKET ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439071109",
            "telephone_number": "740-942-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WASHINGTON ST",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522122",
            "telephone_number": "740-282-5676",
            "fax_number": "740-284-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZER",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "01843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.