Active NPI
Scott R Bartl, PAC
- Medical Physician Assistant
- Cleveland, OH
National Provider Identifier
1023293750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50002654
- Practice address
- 11201 Shaker Blvd
Suite 240
Cleveland, OH 44104-3869 - Phone
- (216) 791-0017
- Fax
- (216) 791-0021
- NPI assigned
- Dec 31, 2007
- Last updated
- Jun 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50002654 | Primary |
Addresses
Primary practice location
11201 Shaker Blvd
Suite 240
Cleveland, OH 44104-3869
Mailing address
11201 Shaker Blvd
Suite 240
Cleveland, OH 44104-3869
Phone (216) 791-0017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- https://api.platform.athenahealth.com/20555/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1023293750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 SHAKER BLVD",
"address_2": "SUITE 240",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441043869",
"telephone_number": "216-791-0017",
"fax_number": "216-791-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 SHAKER BLVD",
"address_2": "SUITE 240",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441043869",
"telephone_number": "216-791-0017",
"fax_number": "216-791-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTL",
"first_name": "SCOTT",
"middle_name": "R",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-31",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": "50002654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.