Dr MCH PA-C LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

DR MCH PA-C LLC

Doing business as

Dr MCH-PA LLC

Practice address

681 Wyndclift Cir
Youngstown, OH 44515-4368

Phone

(330) 774-4405

NPI assigned

Apr 1, 2022

Organization subpart

No

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

Authorized official

Name

Miquita C Hosey, PA-CNPI 1629356837

Title

Owner

Phone

(330) 774-4405

Specialties & licenses 1

Addresses

Other names 1

• Dr MCH-PA LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miquita C Hosey, PA-C

  • Physician Assistant
  • Youngstown, OH
  • NPI 1629356837
  NPD Authorized official

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1851031272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 WYNDCLIFT CIR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445154368",
            "telephone_number": "330-774-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 WYNDCLIFT CIR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445154368",
            "telephone_number": "330-774-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MCH PA-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "HOSEY",
        "authorized_official_first_name": "MIQUITA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-774-4405",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr MCH-PA LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.