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

Johnathan Riegel Moresea

Individual provider Medical Physician Assistant · NPI 1891574083

Johnathan Riegel Moresea is a Physician Assistant in Canton, Ohio. Qualified in 2023, 3 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023
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Practice location Address checks out

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone: (330) 489-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22856 Smith Northwest Rd, Alliance, OH 44601-8927 — (330) 949-7442

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.008632RX (OH)

Record details

NPI number1891574083
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address22856 Smith Northwest Rd, Alliance, OH 44601-8927

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)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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