NPIMap

Individual provider Active NPI

Molly Nobbe, PA-C

  • Physician Assistant
  • Dayton, OH
National Provider Identifier
1336736701
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006737 Issued in OH
Practice address
8881 N Main St
Dayton, OH 45415-1333
Phone
(937) 832-5292
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006737 OH Primary

Addresses

Primary practice location

8881 N Main St
Dayton, OH 45415-1333

Mailing address

8881 N Main St
Dayton, OH 45415-1333
Phone (937) 832-5292

Other practice location 1

1522 Ashland Ave
Columbus, OH 43212-2795
Phone (216) 973-9526

Other practice location 2

210 N Main St
London, OH 43140-1115
Phone (740) 845-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210315001817 OH Practitioner - Physician Assistant 8426464553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians

Practice addresses (Care Compare)

210 N Main St
London, OH 43140-1115
Phone (740) 845-7000

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone (614) 293-4969

Hospital & facility affiliations

  • Madison Health Hospital, London, OH, CCN 360189
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.006737OHMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: bud5417@yourcarecommunity.org
  • Direct secure messaging: mnobbe391501@direct.osumc.edu

Organizations & group practices 3

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 8

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": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1336736701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151333",
            "telephone_number": "937-832-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151333",
            "telephone_number": "937-832-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1522 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432122795",
            "country_code": "US",
            "telephone_number": "216-973-9526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Main St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "OH",
            "postal_code": "431401115",
            "country_code": "US",
            "telephone_number": "740-845-7700",
            "fax_number": "740-845-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBBE",
        "first_name": "MOLLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.