MEDICARE: MR. JOHN DONIVON MISOCKY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053038877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN DONIVON MISOCKY

Provider Business Mailing Address
First Line	:	2537 SUNSET AVE
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-4361
Country	:	US
Telephone Number	:	937-346-7330
Fax Number	:

Provider Business Practice Location Address
First Line	:	2537 SUNSET AVE
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-4361
Country	:	US
Telephone Number	:	937-346-7330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	10/24/2022

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1245947191 — THELMA DIANNE MISOCKY
Practice Location Address:

2537 SUNSET AVE
SPRINGFIELD, OH
45505-4361

Practice Phone: 937-450-1800
Practice Fax:

1841845807 — TIFFANY LYNN FYFFE
Practice Location Address:

287 E LEFFEL LN
SPRINGFIELD, OH
45505-4745

Practice Phone: 937-342-3041
Practice Fax: 937-324-4497

1245183961 — MRS. TANYA RENEE VOORHEES S.T.N.A
Practice Location Address:

2723 MORTON DR
SPRINGFIELD, OH
45505-2740

Practice Phone: 937-926-4277
Practice Fax:

1508710294 — BREANNA TRAINER
Practice Location Address:

651 S LIMESTONE ST
SPRINGFIELD, OH
45505-1965

Practice Phone: 937-324-1111
Practice Fax:

1508710211 — LEEAYREA JONELLE CAREY LPN
Practice Location Address:

2217 S HADLEY RD
SPRINGFIELD, OH
45505-4416

Practice Phone: 937-765-7325
Practice Fax:

Directions to “ MR. JOHN DONIVON MISOCKY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.