Individual provider Active NPI

Daniel Cody Lollathin, PA-C

  • Physician Assistant
  • Dover, OH
National Provider Identifier
1285172106
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004991RX Issued in OH
Practice address
515 Union Ave
Suite 167
Dover, OH 44622-3004
Phone
(330) 343-3335
NPI assigned
Feb 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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 50.004991RX OH Primary

Addresses

Primary practice location

515 Union Ave
Suite 167
Dover, OH 44622-3004

Mailing address

11 Lakeview CT
Bidwell, OH 45614-9004
Phone (740) 612-9094

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
I20170314001303 OH Practitioner - Physician Assistant 5890070833 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 31, 2025 Accepting new patients
Partners Physician Group CurrentSince Oct 1, 2023 Accepting new patients
The Union Hospital Association CurrentSince Jun 16, 2023 Accepting new patients
Partners Physician Group CurrentSince Oct 1, 2023 Accepting new patients

Locations

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

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

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

515 Union Ave
Ste 167
Dover, OH 44622
Phone (330) 343-3335

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: dlollathin1263520@direct.ccf.org
  • Direct secure messaging: clollathin1148142@direct.trinity-health.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1285172106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LAKEVIEW CT",
            "city": "BIDWELL",
            "state": "OH",
            "postal_code": "456149004",
            "telephone_number": "740-612-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 UNION AVE",
            "address_2": "SUITE 167",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223004",
            "telephone_number": "330-343-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLATHIN",
        "first_name": "DANIEL",
        "middle_name": "CODY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004991RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.