JONATHAN EDWARD VICHOSKY NPI 1023695202

NPI Information

NPI: 1023695202
Provider Name: JONATHAN EDWARD VICHOSKY
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2815 HASTINGS RD
SILVER LAKE, OH
ZIP 44224
Phone: (440) 812-9639
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Jonathan Edward Vichosky is a medical physician assistant in Silver Lake, OH with 3 years of experience. Jonathan Edward Vichosky NPI is 1023695202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2815 HASTINGS RD
SILVER LAKE, OH
ZIP 44224-703
Phone: (440) 812-9639

The NPI 1023695202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2021 and was last updated on 6/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	50.007462RX	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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