Individual provider Active NPI

Annie C Forte, PA-C

  • Physician Assistant
  • Middleburg HTS, OH
National Provider Identifier
1215353719
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-003879 Issued in OH
Practice address
18697 Bagley Rd
Middleburg HTS, OH 44130
Phone
(440) 816-8000
NPI assigned
Mar 10, 2014
Last updated
May 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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 50-003879 OH Primary

Addresses

Primary practice location

18697 Bagley Rd
Middleburg HTS, OH 44130

Mailing address

1688 Belfair Dr
Twinsburg, OH 44087-1162
Phone (419) 370-1593

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
I20140522000512 OH Practitioner - Physician Assistant 4082837992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

17747 Chillicothe Rd
Suite 100
Chagrin Falls, OH 44023-4765
Phone (440) 543-8855

2001 E Royalton Rd
Broadview Heights, OH 44147-2811

2570 Som Ctr Rd
Willoughby Hills, OH 44094-9607
Phone (440) 943-2500

26900 Cedar Rd
Beachwood, OH 44122-1191
Phone (216) 839-3000

29800 Bainbridge Rd
Solon, OH 44139-2202
Phone (216) 444-6568

5001 Rockside Rd
Independence, OH 44131-2172
Phone (216) 986-4000

5195 Mayfield Rd
Lyndhurst, OH 44124-2478
Phone (440) 442-0400

7060 Wayside Dr
Mentor, OH 44060-6527
Phone (440) 357-2770

7580 Northcliff Ave
Suite 700
Brooklyn, OH 44144-3271
Phone (216) 444-2200

82 W Streetsboro St
Hudson, OH 44236-2876
Phone (330) 344-7650

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50-003879OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince May 22, 2014 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 13, 2016 Accepting new patients
The Metrohealth System CurrentSince May 22, 2014 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

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

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1215353719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 BELFAIR DR",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871162",
            "telephone_number": "419-370-1593",
            "fax_number": "330-998-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18697 BAGLEY RD",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-816-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTE",
        "first_name": "ANNIE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-003879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg HTS, OH

Sources for this page

Verify at the official NPI Registry.