Individual provider Active NPI

Kevin A. Mikesell, D.O.

  • Emergency Medicine Physician
  • Millersburg, OH
National Provider Identifier
1508990946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34004780 Issued in OH
Practice address
981 Wooster Rd
Millersburg, OH 44654-1536
Phone
(330) 674-1015
NPI assigned
Mar 16, 2007
Sex
Male
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
Emergency Medicine Physician 207P00000X 34004780 OH Primary

Addresses

Primary practice location

981 Wooster Rd
Millersburg, OH 44654-1536

Mailing address

2949 Carie Hill Cir NW
Massillon, OH 44646-2360
Phone (330) 830-6509

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000347 OH Practitioner - Emergency Medicine 4880729755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702

PO Box
Suite 80690
Canton, OH 44708

PO Box
Suite 80690
Cannon, OH 44708-0690

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4780OHMDClinical Psychologist
34004780OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Now Urgent Care, LLC CurrentSince Jun 1, 2020 Accepting new patients
Pomerene Hospital CurrentSince Jan 1, 2016 Accepting new patients
Aultman Hospital CurrentSince Mar 6, 2013 Accepting new patients
Aultman Hospital CurrentSince Mar 6, 2013 Accepting new patients
Stark County Pathologists Inc Current Accepting new patients
Aultman Hospital Current Accepting new patients
Falls Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
White Trillium Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

2600 6th St SW
#L
Canton, OH 44710

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

2606 Wales Ave NW
Ste 300
Massillon, OH 44646
Phone (330) 834-1111

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

2203 E Maple St
North Canton, OH 44720
Phone (330) 363-8580

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

Organizations & group practices 8

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 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508990946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 CARIE HILL CIR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462360",
            "telephone_number": "330-830-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541536",
            "telephone_number": "330-674-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKESELL",
        "first_name": "KEVIN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34004780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

Verify at the official NPI Registry.