Kaitlyn E Sizemore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004467 Issued in OH

Practice address

450B Washington Jackson Rd
Eaton, OH 45320-7600

Phone

(937) 456-8360

Fax

(866) 585-5451

NPI assigned

Sep 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: kaitlyn.sizemore.1@593.direct.athenahealth.com

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.

• Emergency Medicine Specialists Inc

  • Emergency Medicine Physician
  • Miamisburg, OH
  • NPI 1366428575

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1891163580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207600",
            "telephone_number": "937-456-8360",
            "fax_number": "866-585-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207600",
            "telephone_number": "937-456-8360",
            "fax_number": "866-585-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "KAITLYN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144994",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regan Shisler
• Sarah Kayeann Shiverdecker, LSW
• Tracie L Shoe, CNP
• David Frank Sikora, DDS
• Jillian Sittloh
• Skilled Care of Ohio
• Alice M Smith
• Dean L Smith, D.C., PH.D.
• Jane Palmer Smith, D.C.
• Jody Lynn Smith, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.

Verify at the official NPI Registry.