Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Marie Kogut, PAC

Individual provider Physician Assistant · NPI 1770657702

Angela Marie Kogut, PAC is a Physician Assistant in Fairlawn, Ohio. Graduated from At Still University, Arizona School of Dentistry & Oral Hlth in 2017, 9 years ago. Practices with Kingman Healthcare Inc, a 180-clinician group, works from 6 locations and accepts Medicare assignment.

Years since qualifying
9
Trained at
At Still University, Arizona School of Dentistry & Oral Hlth
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3535 S Smith Rd Ste A
Fairlawn, OH 44333-9270
Phone: (330) 208-2720
Fax: (330) 208-2721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 3780 Medina Rd Ste 110, Medina, OH 44256-9312 — (330) 208-2720
  • 3051 Graham Rd, Stow, OH 44224-3654 — (330) 208-2720
  • 9150 Market Square Dr, Streetsboro, OH 44241-4571 — (330) 208-2720
  • 1560 Corporate Woods Pkwy, Uniontown, OH 44685-8730 — (330) 208-2720
  • 185 Wadsworth Rd, Wadsworth, OH 44281-9585 — (330) 208-2720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1770657702
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESNovember 19, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated 2017 (9 years in practice)
Group practice Kingman Healthcare Inc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fairlawn