Active NPI
Clare Elizabeth Whitner
- Physician Assistant
- Perrysburg, OH
National Provider Identifier
1134870322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.008002
- Practice address
- 815 Commerce Dr
Perrysburg, OH 43551-5255 - Phone
- (419) 872-4673
- NPI assigned
- Jan 10, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 50.008002 | OH | Primary |
Addresses
Primary practice location
815 Commerce Dr
Perrysburg, OH 43551-5255
Mailing address
815 Commerce Dr
Perrysburg, OH 43551-5255
Phone (419) 872-4673
Other practice location 1
3000 Arlington Ave # MS 1027
Toledo, OH 43614-2595
Phone (419) 530-5408
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.008002 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Mitchell MD LLC | Current | Accepting new patients |
Locations
815 Commerce Dr
Perrysburg, OH 43551
Phone (419) 871-3737
Organizations & group practices 1
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.
-
- Dermatology Physician
- Perrysburg, OH
- NPI 1811178254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709424000000",
"number": "1134870322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 COMMERCE DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515255",
"telephone_number": "419-872-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 COMMERCE DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515255",
"telephone_number": "419-872-4673"
}
],
"practiceLocations": [
{
"address_1": "3000 Arlington Ave # MS 1027",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-530-5408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITNER",
"first_name": "CLARE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2024-03-03",
"certification_date": "2024-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.008002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.