Active NPI
Louise Ann Bear, PA-C
- Physician Assistant
- Brecksville, OH
National Provider Identifier
1275713422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50-002660
- Practice address
- 10000 Brecksville Rd
Brecksville, OH 44141-3204 - Phone
- (440) 526-3030
- NPI assigned
- Nov 5, 2007
- 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 | 50-002660 | OH | Primary |
Addresses
Primary practice location
10000 Brecksville Rd
Brecksville, OH 44141-3204
Mailing address
130 Bettie LN
Brunswick, OH 44212-1415
Phone (330) 606-3095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-002660 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1275713422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 BETTIE LN",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442121415",
"telephone_number": "330-606-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BRECKSVILLE RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413204",
"telephone_number": "440-526-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAR",
"first_name": "LOUISE",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50-002660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.