Active NPI
Tiffany Washkewicz, MPAS, PA-C
- Physician Assistant
- Elyria, OH
National Provider Identifier
1659698678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003059
- Practice address
- 303 Chestnut Commons Dr
Elyria, OH 44035-9607 - Phone
- (440) 366-9444
- NPI assigned
- Apr 29, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9105232 | FL | |
| Physician Assistant | 363A00000X | 003059 | OH | Primary |
Addresses
Primary practice location
303 Chestnut Commons Dr
Elyria, OH 44035-9607
Mailing address
303 Chestnut Commons Dr
Elyria, OH 44035-9607
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9105232 | FL | MD | Physician Assistant |
| 003059 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1659698678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 CHESTNUT COMMONS DR",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440359607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 CHESTNUT COMMONS DR",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440359607",
"telephone_number": "440-366-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHKEWICZ",
"first_name": "TIFFANY",
"credential": "MPAS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9105232",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "003059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.