CLARA WILSON (NPI# 1164810495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164810495 |
| Entity Type | Individual |
| Full Name | CLARA WILSON |
| Credential | C- PA |
| Practice Address |
1120 E Broad St Elyria OH 44035-6306 |
| Mailing Address |
Po Box 636643 Cincinnati OH 45263-6643 |
| Practice Telephone | 4403652600 |
| Practice Fax Number | 4403665543 |
| Mailing Telephone | 4409893801 |
| Mailing Fax Number | 4409600264 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3025372 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226476 | Clara Wilson | Nurse Anesthetist, Certified Registered | 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | 2017-07-05 |
| 1356584338 | Clara Marie Wilson | Occupational Therapist | 214 Hartman Pl, Saint Clair, MO 63077-2464 | 2009-04-07 |
| Street Address |
1120 E BROAD ST |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544734 | Rahul Kumar Dhingra | Internal Medicine | 1120 E Broad St, Elyria, OH 44035-6306 | 2005-08-09 |
| 1003384207 | Leslie A Strodtbeck | Nurse Practitioner | 1120 E Broad St, Elyria, OH 44035-6306 | 2018-11-06 |
| 1437698743 | Niki Virginia Smiley Wilson | Nurse Practitioner | 1120 E Broad St, Elyria, OH 44035-6306 | 2017-02-20 |
| 1669923207 | Jessica Smith | Nurse Practitioner | 1120 E Broad St, Elyria, OH 44035-6306 | 2016-10-19 |
| 1487109724 | Ekaterina Kholyavka | Nurse Practitioner | 1120 E Broad St, Elyria, OH 44035-6306 | 2016-08-16 |
| 1558747105 | Tammie Marie Leydig | Registered Nurse | 1120 E Broad St, Elyria, OH 44035-6306 | 2015-08-06 |
| 1104210715 | Beatrice Cardona Weese | Registered Nurse | 1120 E Broad St, Elyria, OH 44035-6306 | 2015-03-20 |
| 1881091882 | Michael Mastrangelo | Physician Assistant | 1120 E Broad St, Elyria, OH 44035-6306 | 2014-11-20 |
| 1598171951 | Mary Adetokunbo Esho | Internal Medicine | 1120 E Broad St, Elyria, OH 44035-6306 | 2014-07-07 |
| 1508125469 | Melinda Riedy | Nurse Practitioner | 1120 E Broad St, Elyria, OH 44035-6306 | 2012-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073171690 | Paul Michael Robinson | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2019-05-29 |
| 1578916409 | Andrea Rini | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2016-07-15 |
| 1881091882 | Michael Mastrangelo | Physician Assistant | 1120 E Broad St, Elyria, OH 44035-6306 | 2014-11-20 |
| 1326358805 | Brandon Joseph Zuchowski | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2010-10-18 |
| 1427078617 | Susan Lynn Szydlowski | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2006-07-20 |
| 1891730834 | James Fraser Thoburn | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
| 1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
| 1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
| 1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
| 1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
| 1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
| 1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
| 1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.