MICHELL MCDIFFETT PA-C NPI 1033411889

NPI Information

  • NPI: 1033411889
  • Provider Name: MICHELL MCDIFFETT, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4200 PARK AVE
    ASHTABULA, OH
    ZIP 44004
  • Phone: (216) 280-4363

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NPI Details

Michell Mcdiffett, PA-C is a medical physician assistant in Ashtabula, OH. Michell Mcdiffett, PA-C NPI is 1033411889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4200 PARK AVE
ASHTABULA, OH
ZIP 44004-895
Phone: (216) 280-4363

The NPI 1033411889 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 11/30/2010 and was last updated on 11/30/2010.

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
1363AM0700XPhysician AssistantMedical003207OHIOYes

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: 11/21/2025

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