Individual provider Active NPI

Michele Kanagy, PA-C

  • Physician Assistant
  • Alliance, OH
National Provider Identifier
1932306537
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001775 Issued in OH
Practice address
270 E State St Ste 245
Alliance, OH 44601-4369
Phone
(330) 596-6520
NPI assigned
Jun 28, 2007
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001775 OH Primary

Addresses

Primary practice location

270 E State St Ste 245
Alliance, OH 44601-4369

Mailing address

14599 Commerce St NE
Alliance, OH 44601-1003
Phone (330) 829-1606

Other practice location 1

14599 Commerce St NE
Alliance, OH 44601-1003
Phone (330) 829-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091105000364 OH Practitioner - Physician Assistant 8527106970 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001775OHMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: michele.kanagy.3@10709.direct.athenahealth.com
  • Direct secure messaging: michele.kanagy@direct.aultman.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1932306537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14599 COMMERCE ST NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446011003",
            "telephone_number": "330-829-1606",
            "fax_number": "330-829-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E STATE ST STE 245",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014369",
            "telephone_number": "330-596-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14599 Commerce St NE",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446011003",
            "country_code": "US",
            "telephone_number": "330-829-1606",
            "fax_number": "330-829-1607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANAGY",
        "first_name": "MICHELE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.