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

Dr. Kevin Allan Mishock, DO

Individual provider Emergency Medicine Physician · NPI 1063432896

Dr. Kevin Allan Mishock, DO is an Emergency Medicine in State College, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2000, 26 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
26
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
FL, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1800 E Park Ave Mount Nittany Medical Ctr
State College, PA 16803-6701
Phone: (814) 234-6110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence OS011815L (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OS18411 (FL)

Record details

NPI number1063432896
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2000 (26 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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