Patrick Kyle Vidrine, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.003375 Issued in OH

Practice address

335 Glessner Ave
Attn: HMG Office
Mansfield, OH 44903-2269

Phone

(419) 520-2379

Fax

(419) 520-2824

NPI assigned

Sep 15, 2011

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Regional Health SystemGroup PAC ID 0648284067, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as group

Quality

84.85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pvidrine28494@ehrdirect.uhhospitals.org

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.

• Samaritan Regional Health System

  • Nurse Practitioner
  • Ashland, OH
  • NPI 1396251989
  Medicare reassignment Care Compare group
• Mid-Ohio Emergency Group, LLC

  • Emergency Medicine Physician
  • Mansfield, OH
  • NPI 1881164010
  Medicare reassignment
• Samaritan Regional Health System

  dba University Hospitals Samaritan Medical Center

  • Urgent Care Clinic/Center
  • Ashland, OH
  • NPI 1720578297
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Samaritan Regional Health System

  dba University Hospitals Samaritan Medical Center

  • General Acute Care Hospital
  • Ashland, OH
  • NPI 1902882939
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1760764716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "address_2": "ATTN: HMG OFFICE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "419-520-2379",
            "fax_number": "419-520-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "address_2": "ATTN: HMG OFFICE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "419-520-2379",
            "fax_number": "419-520-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Center Street",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OH",
            "postal_code": "448052269",
            "country_code": "US",
            "telephone_number": "419-289-0491",
            "fax_number": "419-281-5409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDRINE",
        "first_name": "PATRICK",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viaquest Healthcare Central
• Taylor Viars
• Michael R Viau, MD
• Victory Counseling Center, LLC
• Jill S Vidrine, PA-C
• Timothy Louis Vierheller, D.C..
• Eric Michael Vikingstad, M.D.
• Amy Vincent, RN
• Visiting Nurse Association of Mid-Ohio
• Srividya Viswanathan, M.D

• Physician Assistant in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
• 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.

Verify at the official NPI Registry.