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

Robert B Kanuckel, PAC

Individual provider Physician Assistant · NPI 1821049198

Robert B Kanuckel, PAC is a Physician Assistant in Englewood, Ohio. Qualified in 1979, 47 years ago. Practices with Urgent Care Specialists, LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
47
Licensed in
OH
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

7709 Hoke Rd
Englewood, OH 45315-9725
Phone: (937) 836-4000
Fax: (937) 540-1090
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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 50000110 (OH)

Record details

NPI number1821049198
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESApril 29, 2019
Mailing address4750 Hempstead Station Dr, Kettering, OH 45429-5164

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Urgent Care Specialists, Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Englewood