Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Mia Dimo, PA-C

Individual provider Physician Assistant · NPI 1477265155

Alexis Mia Dimo, PA-C is a Physician Assistant in Perrysburg, Ohio. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan and Ohio.

Years since qualifying
3
Licensed in
MI, OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

25950 Dixie Hwy Ste 400
Perrysburg, OH 43551-2983
Phone: (567) 585-0010
Fax: (567) 225-3490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.008598RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 5601012276 (MI)

Record details

NPI number1477265155
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 14, 2022
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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