Active NPI
Karen Marie Dillard, PA-C
- Physician Assistant
- Fairlawn, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003690
- Practice address
- 822 Kumho Dr
Suite 202
Fairlawn, OH 44333-9297 - Phone
- (330) 576-0500
- Fax
- (330) 576-0467
- NPI assigned
- Feb 6, 2013
- Last updated
- Feb 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 003690 | OH | Primary |
Addresses
Primary practice location
822 Kumho Dr
Suite 202
Fairlawn, OH 44333-9297
Mailing address
2021 Mount Pleasant St NE
Canton, OH 44721-1438
Phone (330) 413-1156
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29 N Adams St
Akron, OH 44304-1641
Phone (732) 309-4844
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003690 | OH | MD | Physician Assistant |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Akron, OH
- NPI 1841972676
-
- Internal Medicine Physician
- Akron, OH
- NPI 1508288531
-
- Internal Medicine Physician
- Hudson, OH
- NPI 1093756314
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Summa Health System Ignatia Hall South
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
-
dba Summa Rehab Hospital
- Rehabilitation Hospital
- Akron, OH
- NPI 1538449830
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1063751386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 MOUNT PLEASANT ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447211438",
"telephone_number": "330-413-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 KUMHO DR",
"address_2": "SUITE 202",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443339297",
"telephone_number": "330-576-0500",
"fax_number": "330-576-0467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "003690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.