Active NPI
PO Ki W Yang, PA-C
- Physician Assistant
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.005052RX
- Practice address
- 3500 Carnegie Ave
Cleveland, OH 44115-2641 - Phone
- (440) 260-8300
- NPI assigned
- Mar 9, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.005052RX | OH | Primary |
Addresses
Primary practice location
3500 Carnegie Ave
Cleveland, OH 44115-2641
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006
Other practice location 1
801 E Washington St
Suite 150
Medina, OH 44256-3335
Phone (216) 587-6727
Other names 1
- PO Ki Wong
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | OhioGuidestone | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Richmond Rd
Euclid, OH 44143-1239
Phone (800) 860-7373
202 E Bagley Rd
Berea, OH 44017-2058
Phone (440) 234-2006
246 Northland Dr
Suite 140
Medina, OH 44256-3440
Phone (440) 260-8300
6753 State Rd
Parma, OH 44134-4517
Phone (800) 860-7373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.005052RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Corporation | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients |
Locations
434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327
202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327
3500 Carnegie Ave
Cleveland, OH 44115
Phone (440) 260-8327
1515 W 29th St
Cleveland, OH 44113
Phone (216) 574-9000
7911 Detroit Ave
Cleveland, OH 44102
Phone (216) 334-2876
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Euclid, OH
- NPI 1972550010
-
- Developmental - Behavioral Pediatrics Physician
- Berea, OH
- NPI 1609123728
-
- Specialist
- Lorain, OH
- NPI 1124095112
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Parma, OH
- NPI 1659328771
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1295096758
-
- Family Medicine Physician
- Lorain, OH
- NPI 1487452603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1053852152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 EASTLAND RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171217",
"telephone_number": "440-234-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CARNEGIE AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152641",
"telephone_number": "440-260-8300"
}
],
"practiceLocations": [
{
"address_1": "801 E Washington St",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Medina",
"state": "OH",
"postal_code": "442563335",
"country_code": "US",
"telephone_number": "216-587-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "PO KI",
"middle_name": "W",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.005052RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "OhioGuidestone",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3500 Carnegie Ave",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441152641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PO KI",
"last_name": "WONG",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.