NPIMap

Individual provider Active NPI

Chance William Mitan, MPAS, PA-C

  • Physician Assistant
  • Akron, OH
National Provider Identifier
1396255766
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005311RX Issued in OH
Practice address
3975 Embassy Pkwy
Akron, OH 44333-8320
Phone
(330) 668-4040
Fax
(330) 668-4078
NPI assigned
Oct 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 50.005311RX OH Primary

Addresses

Primary practice location

3975 Embassy Pkwy
Akron, OH 44333-8320

Mailing address

7871 Brinker St SW
Navarre, OH 44662-9027
Phone (330) 705-3280

Other practice location 1

1622 E Turkeyfoot Lake Rd Ste 200
Akron, OH 44312-5277
Phone (330) 644-7436

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
I20171127001210 OH Practitioner - Physician Assistant 1759648983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Clinic, Inc.Group PAC ID 7214821586, 46 clinicians

Practice addresses (Care Compare)

1622 E Turkeyfoot Lake Rd
Suite 200
Akron, OH 44312-5277
Phone (330) 644-7436

3340 W Market St
Suite 200
Fairlawn, OH 44333-3381

3557 Embassy Pkwy
Akron, OH 44333-8358
Phone (330) 670-1005

3925 Embassy Pkwy
Suite 130
Akron, OH 44333-1785

3925 Embassy Pkwy
Suite 200
Akron, OH 44333-8400
Phone (330) 668-4050

3925 Embassy Pkwy
Suite 300
Akron, OH 44333-1799
Phone (330) 668-4065

3975 Embassy Pkwy
Suite 102
Akron, OH 44333-1763
Phone (330) 668-4040

3975 Embassy Pkwy
Suite 202
Akron, OH 44333-8395
Phone (330) 668-4085

437 Portage Trail
Cuyahoga Falls, OH 44221-3227
Phone (330) 929-9136

437 Portage TRL
Cuyahoga Falls, OH 44221-3227
Phone (330) 929-9136

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
83.94
Promoting interoperability
100
Improvement activities
40
Cost
78.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.005311RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Inc CurrentSince Oct 16, 2017 Accepting new patients
Crystal Clinic Orthopaedic Center, LLC Past Accepting new patients

Locations

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

72 5th St SE
Ste A
Barberton, OH 44203
Phone (330) 670-4111

437 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 929-9136

1622 E Turkeyfoot Lake Rd
Ste 200
Green, OH 44312
Phone (330) 644-7436

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396255766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7871 BRINKER ST SW",
            "city": "NAVARRE",
            "state": "OH",
            "postal_code": "446629027",
            "telephone_number": "330-705-3280"
        },
        {
            "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": [
        {
            "address_1": "1622 E Turkeyfoot Lake Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443125277",
            "country_code": "US",
            "telephone_number": "330-644-7436",
            "fax_number": "330-644-0167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITAN",
        "first_name": "CHANCE",
        "middle_name": "WILLIAM",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005311RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.