Jonathan Edward Vichosky
Jonathan Edward Vichosky is a Physician Assistant in Silver Lake, Ohio. Qualified in 2021, 5 years ago. Practices with Summa Physicians LLC, a 688-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 5
- Licensed in
- OH
- In the registry since
- 2021
Practice location Address checks out
2815 Hastings RdSilver Lake, OH 44224-3703
Phone: (440) 812-9639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 50.007462RX (OH) |
|---|
Record details
| NPI number | 1023695202 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2021 |
| Last updated in NPPES | June 2, 2022 |
| Certification date | May 18, 2022 |
| Mailing address | 2815 Hastings Rd, Silver Lake, OH 44224-3703 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Summa Physicians Llc — 688 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |