Individual provider Active NPI

Elizabeth Newsome, PA

  • Physician Assistant
  • Euclid, OH
National Provider Identifier
1144587262
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003508 Issued in OH
Practice address
27900 Euclid Ave
Euclid, OH 44132-3539
Phone
(216) 731-7110
Fax
(216) 731-7130
NPI assigned
Apr 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003508 OH Primary

Addresses

Primary practice location

27900 Euclid Ave
Euclid, OH 44132-3539

Mailing address

19760 South Lakeshore Blvd.
Euclid, OH 44119-1151
Phone (216) 905-9219

Other identifiers 1

IdentifierTypeStateIssuer
0070303MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabethnewsome@uhps.allscriptsdirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000107 OH Practitioner - Physician Assistant 1850554528 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.003508OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Aug 2, 2018 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Mar 9, 2016 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 2, 2018 Accepting new patients
Premier Urgent Care, LLC PastSince Oct 17, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

100 7th Ave
Ste 111
Chardon, OH 44024
Phone (440) 286-8841

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

Organizations & group practices 8

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1144587262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19760 SOUTH LAKESHORE BLVD.",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191151",
            "telephone_number": "216-905-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27900 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323539",
            "telephone_number": "216-731-7110",
            "fax_number": "216-731-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070303",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabethnewsome@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "100 Seventh Ave Ste 111",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440247802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.