Healthcare Provider Details

I. General information

NPI: 1235089129
Provider Name (Legal Business Name): MADISYN REMPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7676 REYNOLDS RD
MENTOR OH
44060-5110
US

IV. Provider business mailing address

111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH NH
03801-2864
US

V. Phone/Fax

Practice location:
  • Phone: 440-496-6133
  • Fax: 440-283-3010
Mailing address:
  • Phone: 330-947-6021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010673RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: