Active NPI
Pamela Cosette McGill
- Speech-Language Pathologist
- Kent, OH
National Provider Identifier
1588155774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1064
- Practice address
- Kent State University 1325 Theatre Dr
Kent, OH 44242-0001 - Phone
- (330) 672-3000
- NPI assigned
- May 23, 2018
- Last updated
- May 23, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1064 | OH | Primary |
Addresses
Primary practice location
Kent State University 1325 Theatre Dr
Kent, OH 44242-0001
Mailing address
3262 E Tuscarawas Ext
Barberton, OH 44203-3871
Phone (330) 903-6039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1064 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1588155774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3262 E TUSCARAWAS EXT",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442033871",
"telephone_number": "330-903-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KENT STATE UNIVERSITY 1325 THEATRE DR",
"city": "KENT",
"state": "OH",
"postal_code": "442420001",
"telephone_number": "330-672-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "PAMELA",
"middle_name": "COSETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP-1064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.