Active NPI
Angela Gellings Mardula, PA
- Physician Assistant
- Mayfield Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6780 Mayfield Rd
Mayfield Heights, OH 44124 - Phone
- (440) 312-4600
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
6780 Mayfield Rd
Mayfield Heights, OH 44124
Mailing address
11800 Julie Dr
Chardon, OH 44024-8484
Phone (440) 214-9546
Other practice location 1
13951 Terrace Rd
East Cleveland, OH 44112-4308
Phone (216) 761-3300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Emergency Professionals of Ohio, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Family Medicine Physician
- Avon, OH
- NPI 1184428336
-
- Nurse Practitioner
- Athens, OH
- NPI 1750313854
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1265487391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 JULIE DR",
"city": "CHARDON",
"state": "OH",
"postal_code": "440248484",
"telephone_number": "440-214-9546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6780 MAYFIELD RD",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "44124",
"telephone_number": "440-312-4600"
}
],
"practiceLocations": [
{
"address_1": "13951 Terrace Rd",
"address_purpose": "LOCATION",
"city": "East Cleveland",
"state": "OH",
"postal_code": "441124308",
"country_code": "US",
"telephone_number": "216-761-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELLINGS MARDULA",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.