Individual provider Active NPI

Julie A Davian, PA-C

  • Surgical Physician Assistant
  • Warrensville Heights, OH
National Provider Identifier
1144263724
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50000981 Issued in OH
Practice address
20000 Harvard Ave
Suite 1002
Warrensville Heights, OH 44122-6805
Phone
(216) 991-2600
Fax
(330) 255-5088
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50000981 OH Primary

Addresses

Primary practice location

20000 Harvard Ave
Suite 1002
Warrensville Heights, OH 44122-6805

Mailing address

20000 Harvard Ave
Suite 1002
Warrensville Heights, OH 44122-6805
Phone (216) 991-2600

Other identifiers 1

IdentifierTypeStateIssuer
0097555MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3033 State Rd
Suite 101
Cuyahoga Falls, OH 44223-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50000981OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
WRH Physicians, Inc. CurrentSince May 29, 2017 Accepting new patients
WRH Physicians, Inc. Past Accepting new patients
Vincent J. Bertin, M.D., Inc Past Accepting new patients

Locations

231 Seasons Rd
Ste 200
Cuyahoga Falls, OH 44224
Phone (330) 650-5110

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

20000 Harvard Ave
Ste 1002
Warrensville Heights, OH 44122
Phone (216) 991-2600

Interoperability endpoints

  • Direct secure messaging: julie.davian@wrhs.eclinicaldirectplus.com
  • Direct secure messaging: jdavian28393@ehrdirect.uhhospitals.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1144263724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 HARVARD AVE",
            "address_2": "SUITE 1002",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "216-991-2600",
            "fax_number": "330-255-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 HARVARD AVE",
            "address_2": "SUITE 1002",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226805",
            "telephone_number": "216-991-2600",
            "fax_number": "330-255-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIAN",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50000981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.