Active NPI
Judith Marie Mitchell
- Home Health Aide
- Tallmadge, OH
National Provider Identifier
1952593709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 65 Community Road
Pioneer Physicians Netword
Tallmadge, OH 44278 - Phone
- (330) 633-6601
- Fax
- (330) 630-2941
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
65 Community Road
Pioneer Physicians Netword
Tallmadge, OH 44278
Mailing address
2525 Wedgewood Dr
Apt 500
Akron, OH 44312
Phone (330) 784-4488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2405516 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Physicians Network, Inc. | Past | Accepting new patients | |
| Pioneer Physicians Network Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBBCAA
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Canton, OH
- NPI 1174296172
-
- Family Medicine Physician
- Uniontown, OH
- NPI 1851354633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1952593709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 WEDGEWOOD DR",
"address_2": "APT 500",
"city": "AKRON",
"state": "OH",
"postal_code": "44312",
"telephone_number": "330-784-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 COMMUNITY ROAD",
"address_2": "PIONEER PHYSICIANS NETWORD",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "44278",
"telephone_number": "330-633-6601",
"fax_number": "330-630-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JUDITH",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2405516",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallmadge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.