Individual provider Active NPI

Mia Theresa Kaehler

  • Physician Assistant
  • Akron, OH
National Provider Identifier
1689255333
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1 Park West Blvd Ste 330
Akron, OH 44320-4226
Phone
(330) 835-5533
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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 Primary

Addresses

Primary practice location

1 Park West Blvd Ste 330
Akron, OH 44320-4226

Mailing address

1 Park West Blvd
Akron, OH 44320-4218
Phone (330) 835-5533

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510002185 OH Practitioner - Physician Assistant 3072922764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

1 Park W Blvd
Akron, OH 44320-4226

3825 Fishcreek Rd
Stow, OH 44224-4316

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince May 31, 2021 Accepting new patients
Summa Physicians LLC Physician Assistant CurrentSince May 31, 2021 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1 Park West Blvd
Ste 330
Akron, OH 44320
Phone (216) 406-4323

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

4211 State Route 44
Unit 130
Rootstown, OH 44272
Phone (234) 867-7590

3825 Fishcreek Rd
Ste 200
Stow, OH 44224
Phone (234) 312-5656

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

621 School Dr
Wadsworth, OH 44281
Phone (330) 331-1000

Interoperability endpoints

  • Direct secure messaging: mkaehler25841@summahealth-direct.org

Organizations & group practices 4

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 3

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1689255333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204218",
            "telephone_number": "330-835-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD STE 330",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204226",
            "telephone_number": "330-835-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEHLER",
        "first_name": "MIA",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.