Active NPI
Nathanael Paul McNiel, PA-C
- Medical Physician Assistant
- Kettering, OH
National Provider Identifier
1730451733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 003451
- Practice address
- 3533 Southern Blvd
Ste 3000
Kettering, OH 45429-1280 - Phone
- (937) 299-8242
- Fax
- (937) 299-8245
- NPI assigned
- Feb 7, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003451 | OH | Primary |
Addresses
Primary practice location
3533 Southern Blvd
Ste 3000
Kettering, OH 45429-1280
Mailing address
3533 Southern Blvd
Ste 3000
Kettering, OH 45429-1280
Other practice location 1
10496 Montgomery Rd Ste 201
Montgomery, OH 45242-5220
Phone (937) 299-8242
Other practice location 2
998 S Dorset Rd Ste 206
Troy, OH 45373-4748
Phone (937) 299-8242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102814 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1989 Miamisburg Centerville Rd
Suite 304
Centerville, OH 45459-3823
Phone (937) 299-8242
3533 Southern Blvd
Suite 3000
Kettering, OH 45429-1280
7980 N Main St
Dayton, OH 45415-2328
Phone (937) 280-4988
Hospital & facility affiliations
- Miami Valley Hospital
- Ohio Valley Surgical Hospital
- Kettering Health Main Campus
- Kettering Health Dayton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003451 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates of Dayton, Inc | Current | Accepting new patients | |
| Orthopedic Associates of Dayton, Inc | Current | Accepting new patients |
Locations
7980 N Main St
Dayton, OH 45415
Phone (937) 280-4988
8255 Yankee St
Dayton, OH 45458
Phone (937) 280-4988
140 W Main St
Ste 110
Springfield, OH 45502
Phone (937) 280-4988
Organizations & group practices 3
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.
-
- Orthopaedic Surgery of the Spine Physician
- Dayton, OH
- NPI 1245274463
-
- Neurological Surgery Physician
- Centerville, OH
- NPI 1194778373
-
- Durable Medical Equipment & Medical Supplies
- Dayton, OH
- NPI 1881702132
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1730451733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 SOUTHERN BLVD",
"address_2": "STE 3000",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 SOUTHERN BLVD",
"address_2": "STE 3000",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291280",
"telephone_number": "937-299-8242",
"fax_number": "937-299-8245"
}
],
"practiceLocations": [
{
"address_1": "10496 Montgomery Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "OH",
"postal_code": "452425220",
"country_code": "US",
"telephone_number": "937-299-8242",
"fax_number": "937-299-8245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "998 S Dorset Rd Ste 206",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453734748",
"country_code": "US",
"telephone_number": "937-299-8242",
"fax_number": "937-299-8245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNIEL",
"first_name": "NATHANAEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "003451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102814",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.