MS. PHYLLIS MARIE KAZIMER P.A.-C.
NPI 1164611018
Physician Assistant - Medical in Tallmadge, OH

Active since October 17, 2007PECOS Enrolled
182 EAST AVE, TALLMADGE, OH 44278(330) 630-9726 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Phyllis Marie Kazimer P.a.-c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PHYLLIS MARIE KAZIMER P.A.-C. (NPI 1164611018) is an individual medical provider in Tallmadge, Ohio, licensed in Ohio (50000764) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164611018
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. PHYLLIS MARIE KAZIMERCredential: P.A.-C.
Location Address182 EAST AVETallmadge, OH 44278-2311
Mailing Address182 East AveTallmadge, OH 44278-2311 · (330) 630-9726
Sole ProprietorNo
Enumeration DateOctober 17, 2007
NPI 1164611018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OH · 50000764
182 EAST AVE, Tallmadge, OH 44278

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Phyllis Marie Kazimer P.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
182 EAST AVE
TALLMADGE, OH 44278
Family Medicine
182 EAST AVE
TALLMADGE, OH 44278
Internal Medicine
182 EAST AVE
TALLMADGE, OH 44278
Internal Medicine
182 EAST AVE
TALLMADGE, OH 44278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Kazimer's NPI number?

The NPI number for Phyllis Kazimer is 1164611018. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Phyllis Kazimer located?

Phyllis Kazimer practices at 182 East Ave, Tallmadge, OH 44278. The listed phone number is (330) 630-9726.

What is Phyllis Kazimer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Phyllis Kazimer enrolled in Medicare?

Yes. Phyllis Kazimer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phyllis Kazimer was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.