Active NPI
Kevin A. Mikesell, D.O.
- Emergency Medicine Physician
- Millersburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34004780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4780 | OH | MD | Clinical Psychologist |
| 34004780 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Now Urgent Care, LLC | Current | Accepting new patients | |
| Pomerene Hospital | Current | Accepting new patients | |
| Aultman Hospital | Current | Accepting new patients | |
| Aultman Hospital | Current | 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
- 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.
-
- Specialist
- Canton, OH
- NPI 1619911054
-
- Critical Access Hospital
- Millersburg, OH
- NPI 1770957185
-
- General Acute Care Hospital
- Canton, OH
- NPI 1265458186
-
- Community/Retail Pharmacy
- Canton, OH
- NPI 1700941978
-
- Urgent Care Clinic/Center
- North Canton, OH
- NPI 1225662927
-
- Anatomic Pathology & Clinical Pathology Physician
- Canton, OH
- NPI 1194030437
-
- Emergency Medicine Physician
- Cuyahoga Falls, OH
- NPI 1295713964
-
- Emergency Medicine Physician
- Cambridge, OH
- NPI 1720364631
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.