Individual provider Active NPI

Danielle Leigh Swisshelm, PA-C

  • Physician Assistant
  • Yellow Springs, OH
National Provider Identifier
1952951873
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006160RX Issued in OH
Practice address
888 Dayton St Unit 106
Yellow Springs, OH 45387-1778
Phone
(937) 760-8762
NPI assigned
Sep 12, 2019
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 50.006160RX OH Primary

Addresses

Primary practice location

888 Dayton St Unit 106
Yellow Springs, OH 45387-1778

Mailing address

888 Dayton St Ste 200
Yellow SPGS, OH 45387-1777
Phone (937) 767-7291

Other names 1

  • Danielle Leigh Martin Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dmartin595994@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221021001008 OH Practitioner - Physician Assistant 7113356536 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Aug 1, 2022 Accepting new patients
Alliance Physicians Inc CurrentSince Aug 1, 2022 Accepting new patients
Greene Memorial Hospital Inc Past Accepting new patients
Greene Memorial Hospital, Inc. Past Accepting new patients

Locations

4790 Cottonville Rd
Jamestown, OH 45335
Phone (937) 675-2870

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

1157 N Monroe Dr
Ste 220
Xenia, OH 45385
Phone (937) 374-3484

Organizations & group practices 4

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1952951873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 DAYTON ST STE 200",
            "city": "YELLOW SPGS",
            "state": "OH",
            "postal_code": "453871777",
            "telephone_number": "937-767-7291",
            "fax_number": "937-767-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 DAYTON ST UNIT 106",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871778",
            "telephone_number": "937-760-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISSHELM",
        "first_name": "DANIELLE",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006160RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmartin595994@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "888 Dayton St Unit 106",
            "city": "Yellow Springs",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453871778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "888 Dayton St Unit 106",
            "city": "Yellow Springs",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453871778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "MARTIN",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yellow Springs, OH

Sources for this page

Verify at the official NPI Registry.