Active NPI
Michele Ann Mirch, DO
- Hospitalist Physician
- Chillicothe, OH
National Provider Identifier
1710989579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 34005492
- Practice address
- 272 Hospital Rd
Chillicothe, OH 45601-9031 - Phone
- (740) 779-4300
- NPI assigned
- Aug 11, 2005
- Last updated
- Apr 1, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34005492 | OH | |
| Hospitalist Physician | 208M00000X | 34005492 | OH | Primary |
Addresses
Primary practice location
272 Hospital Rd
Chillicothe, OH 45601-9031
Mailing address
102 East St
Fairport Harbor, OH 44077-5710
Phone (440) 781-3515
Other practice location 1
6505 Market St
Boardman, OH 44512-3457
Phone (330) 746-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005492 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1710989579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 EAST ST",
"city": "FAIRPORT HARBOR",
"state": "OH",
"postal_code": "440775710",
"telephone_number": "440-781-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 HOSPITAL RD",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456019031",
"telephone_number": "740-779-4300"
}
],
"practiceLocations": [
{
"address_1": "6505 Market St",
"address_purpose": "LOCATION",
"city": "Boardman",
"state": "OH",
"postal_code": "445123457",
"country_code": "US",
"telephone_number": "330-746-8400",
"fax_number": "330-846-9401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRCH",
"first_name": "MICHELE",
"middle_name": "ANN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34005492",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "34005492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.