TINA M MITTERLING (NPI# 1427242239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427242239 |
| Entity Type | Individual |
| Full Name | TINA M MITTERLING |
| Credential | MS,PA-C |
| Practice Address |
508 Dickson St Wellington OH 44090-1300 |
| Mailing Address |
Po Box 636573 Cincinnati OH 45263-6573 |
| Practice Telephone | 4406472225 |
| Mailing Telephone | 4409893801 |
| Mailing Fax Number | 4409600264 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.002833 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3025372 | 05 | |
| OH | LICENSE | 50-002833 | 01 |
| OH | 0077981 | 05 |
| Street Address |
508 DICKSON ST |
| City | WELLINGTON |
| State | OH |
| Zip Code | 44090-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508825803 | Craig Joseph Chapple | Family Medicine | 508 Dickson St, Wellington, OH 44090-1300 | 2006-03-23 |
| 1033403381 | Alisha Marie Stewart | Nurse Practitioner | 508 Dickson St, Suite 2, Wellington, OH 44090-1300 | 2011-06-03 |
| 1528370384 | Saadia Hussain | Family Medicine | 508 Dickson St, Ste 2, Wellington, OH 44090-1300 | 2010-07-09 |
| 1417977018 | Jang Kongthong | Family Medicine | 508 Dickson St, Suite #4, Wellington, OH 44090-1300 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174052567 | Kelly Lynne Keith | Registered Nurse | 121 W Herrick Ave, Wellington, OH 44090 | 2017-06-08 |
| 1104214964 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 101 Weber Court, Wellington, OH 44090 | 2015-01-02 |
| 1780818963 | Mercy Health-allen Hospital LLC | Clinic/Center | 840 Patriot Dr, Wellington, OH 44090 | 2009-05-04 |
| 1790943538 | Wellington Estates Inc | Intermediate Care Facility, Mentally Retarded | 103-110 Weber Ct, Wellington, OH 44090 | 2008-05-29 |
| 1144488099 | Wellington Estates Inc | Intermediate Care Facility, Mentally Retarded | 101 Weber Ct, Wellington, OH 44090 | 2008-05-28 |
| 1942407937 | Stephanie L Conrad | Physical Therapist | 110 Herrick Ave. West, Suite B, Wellington, OH 44090 | 2007-07-02 |
| 1033210935 | Laura Jean Pall Devengencie | Dentist | 406 West Herrick Avenue, Wellington, OH 44090 | 2006-09-26 |
| 1518565100 | Merle Perry Simmons | Homemaker | 345 Prospect St, Wellington, OH 44090 | 2020-10-15 |
| 1518993864 | Discount Drug Mart Inc | Pharmacy | 814 N Main St, Wellington, OH 44090-1000 | 2006-06-25 |
| 1336465418 | Lori Renee Waite | Licensed Practical Nurse | 214 Jones St, Wellington, OH 44090-1025 | 2010-04-14 |
| Find all providers in zip 44090 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1528536810 | Jihan Inez Ramadan | Physician Assistant | 2655 S State Road 7, Wellington, FL 33414-9377 | 2018-11-05 |
| 1235530320 | Kathleen Trummer | Physician Assistant | 2257 Balsan Way, Wellington, FL 33414-6435 | 2014-09-09 |
| 1235530486 | Stacie Buchanan Campbell | Physician Assistant | 10111 Forest Hill Blvd #100, 100, Wellington, FL 33414 | 2014-09-08 |
| 1144281353 | Dean Ernest Evans | Physician Assistant | 11924 Forest Hill Blvd # 10a-243, Wellington, FL 33414-6256 | 2006-03-29 |
| 1932500949 | Olivia Presas | Physician Assistant | 10140 Forest Hill Blvd, Suite 150, Wellington, FL 33414-6125 | 2014-09-09 |
| 1154629541 | Isha Kothari | Physician Assistant | 1157 S State Road 7, Wellington, FL 33414-6101 | 2011-03-09 |
| 1861689192 | Joan Katherine Wahl | Physician Assistant | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2007-10-01 |
| 1376577536 | Annette Linnebur | Physician Assistant | 507 E 16th St, Ste 1, Wellington, KS 67152-2828 | 2006-07-11 |
| 1124059159 | Andrea P Krasniansky | Physician Assistant | 3319 State Road 7, Suite 313, Wellington, FL 33449 | 2006-07-06 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 44090 |
Please comment or provide details below to improve the information on TINA M MITTERLING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.