Individual provider Active NPI

Judith A Adamich, PAC

  • Physician Assistant
  • Euclid, OH
National Provider Identifier
1205934130
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001228 Issued in OH
Practice address
18599 Lakeshore #200
Euclid, OH 44119
Phone
(216) 383-0100
Fax
(216) 383-6481
NPI assigned
Sep 21, 2006
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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 50001228 OH Primary

Addresses

Primary practice location

18599 Lakeshore #200
Euclid, OH 44119

Mailing address

PO Box 74571
Cleveland, OH 44194
Phone (216) 383-6480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address judithadamich@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
I20070301000245 OH Practitioner - Physician Assistant 9234231770 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50001228OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Mar 1, 1999 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 1, 1999 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University Hospitals Regional Practices LLC Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

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

18599 Lake Shore Blvd
Ste 200
Euclid, OH 44119
Phone (216) 383-5303

18599 Lake Shore Blvd
Ste 400
Euclid, OH 44119
Phone (216) 383-3803

224 W Lorain St
Oberlin, OH 44074
Phone (440) 222-4970

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1205934130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74571",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44194",
            "telephone_number": "216-383-6480",
            "fax_number": "216-383-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18599 LAKESHORE #200",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44119",
            "telephone_number": "216-383-0100",
            "fax_number": "216-383-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMICH",
        "first_name": "JUDITH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "judithadamich@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "18599 LAKESHORE #200",
            "city": "EUCLID",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.