MICHELLE M KILBANE (NPI# 1982030326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982030326 |
| Entity Type | Individual |
| Full Name | MICHELLE M KILBANE |
| Other Name | MICHELLE M CZYZYK |
| Credential | PA-C |
| Practice Address |
3975 Embassy Pkwy Akron OH 44333-8320 |
| Practice Telephone | 3306684040 |
| Practice Fax Number | 3306684078 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.003933RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0096821 | 05 |
| Street Address |
3975 EMBASSY PKWY |
| City | AKRON |
| State | OH |
| Zip Code | 44333-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818038 | Crystal Clinic Surgery Center, Inc. | Clinic/Center | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2005-08-17 |
| 1659980431 | Baylee Marie Burns | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2020-07-28 |
| 1396255766 | Chance William Mitan | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2017-10-11 |
| 1881138063 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 003, Akron, OH 44333-8320 | 2016-12-07 |
| 1144762600 | Mallory Ann Lorence | Specialist/Technologist | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2016-11-14 |
| 1235687161 | Marissa Rokicki | Nurse Anesthetist, Certified Registered | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2016-09-20 |
| 1952769713 | Nicole D'amico | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2016-02-08 |
| 1831572742 | Blake Schmucker | Specialist/Technologist | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2015-07-09 |
| 1023434552 | Kodi Veale | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2014-03-07 |
| 1336495308 | Brandy M Mansfield | Nurse Practitioner | 3975 Embassy Pkwy, Ste 102, Akron, OH 44333-8320 | 2012-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332569 | Gabrielle Lynn Cvengros | Physician Assistant | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-29 |
| 1649510603 | Deena Alex Tsatiris | Physician Assistant | 1 Perkins Sq, Akron, OH 44308-1063 | 2013-02-27 |
| 1144480112 | Kristen Leigh Breedlove | Physician Assistant | 1 Perkins Sq, Akron, OH 44308-1063 | 2008-06-13 |
| 1619055829 | David H Williams | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2006-11-02 |
| 1578643599 | Robert S Davis | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2006-10-16 |
| 1790865749 | Russell A Mounts | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
| 1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
| 1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
| 1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
| 1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
| 1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
| 1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
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| 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.