Clara O'Malley, C- PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

5783 Wooster Pike
Medina, OH 44256-8816

Phone

(330) 725-0569

Fax

(330) 662-0258

NPI assigned

Jan 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clara Wilson Former name

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HMT Dermatology Associates Inc.Group PAC ID 6709787989, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• HMT Dermatology Associates Inc

  • Dermatology Physician
  • Medina, OH
  • NPI 1457326514
  Medicare reassignment Care Compare group
• Mercy Health Physicians Lorain, LLC

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1023347192
  Medicare reassignment
• Mercy Health Physicians, Lorain, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oberlin, OH
  • NPI 1730724147
  NPD
• Blue Ridge Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Arrington, VA
  • NPI 1518945187
  NPD (past)

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1164810495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568816",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568816",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Weatherstone Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wadsworth",
            "state": "OH",
            "postal_code": "442817833",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 Center Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442122324",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17982 Royalton Rd",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441365149",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 E Milltown Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446911276",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "CLARA",
        "credential": "C- PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "WILSON",
            "credential": "C-PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Medical Physician Assistant in Medina, OH
• Providers in Medina, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.

Verify at the official NPI Registry.