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

Shirley A Mirisciotti, PA

Individual provider Physician Assistant · NPI 1902021975

Shirley A Mirisciotti, PA is a Physician Assistant in Beavercreek, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

75 Sylvania Dr
Beavercreek, OH 45440-3237
Phone: (937) 320-5050
Fax: (937) 320-5060
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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 50.002363RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50.002363 (OH)

Record details

NPI number1902021975
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020

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