Individual provider Active NPI

Patricia Ann Johnson, PA

  • Physician Assistant
  • Parma, OH
National Provider Identifier
1164514618
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002347 Issued in OH
Practice address
4503 Brookpark Rd
Parma, OH 44134-1009
Phone
(216) 398-0349
Fax
(216) 398-0529
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 7473 AZ
Physician Assistant 363A00000X 50.002347 OH Primary

Addresses

Primary practice location

4503 Brookpark Rd
Parma, OH 44134-1009

Mailing address

6320 W Union Hills Dr Ste 1800
Glendale, AZ 85308-1372
Phone (480) 372-2117

Other names 1

  • Patricia Ann Gray Former name

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
I20080911000224 OH Practitioner - Physician Assistant 8426124637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

1634 Snow Rd
Parma, OH 44134-2719
Phone (440) 368-1520

2209 Crocker Rd
Suite D
Westlake, OH 44145-6727
Phone (440) 249-6060

3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810

6836 Ridge Rd
Parma, OH 44129-5627
Phone (216) 490-1120

900 N Leavitt Rd
Amherst, OH 44001-1137
Phone (440) 375-5280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.002347OHMDPhysician Assistant
7473AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Regional Medical Center Physician Assistant CurrentSince Nov 23, 2022 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Oct 15, 2025 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Oct 15, 2025 Accepting new patients
SCT Operations Inc CurrentSince Nov 16, 2021 Accepting new patients
Hometown Urgent Care of Michigan, P.C. PastSince Nov 16, 2021 Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

11100 Euclid Ave
Cleveland Heights, OH 44106

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

4503 Brookpark Rd
Parma, OH 44134
Phone (216) 398-0349

5001 Transportation Dr
Sheffield Village, OH 44054
Phone (440) 329-2890

29325 Health Campus Dr
Ste 3
Westlake, OH 44145
Phone (440) 414-9400

Interoperability endpoints

  • Direct secure messaging: pjohnson28449@ehrdirect.uhhospitals.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1164514618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 1800",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081372",
            "telephone_number": "480-372-2117",
            "fax_number": "480-372-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 BROOKPARK RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341009",
            "telephone_number": "216-398-0349",
            "fax_number": "216-398-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "7473",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GRAY",
            "middle_name": "ANN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.