Brian Joseph Klockner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002987 Issued in OH

Practice address

155 McDonald Drive SW
New Philadelphia, OH 44663

Phone

(330) 308-8999

Fax

(330) 308-8016

NPI assigned

Feb 3, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cleveland Clinic Mercy Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Medicare reassignment NPD
• Partners Physician Group

  • Surgery Physician
  • Akron, OH
  • NPI 1841239274
  Medicare reassignment NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• Cleveland Clinic Mercy Hospital

  • Dental Clinic/Center
  • Canton, OH
  • NPI 1023362100
  NPD
• Partners Physician Group

  • Public Health & General Preventive Medicine Physician
  • Akron, OH
  • NPI 1164814414
  NPD
• Kindra S. Browning, DO Corporation

  • Internal Medicine Physician
  • New Philadelphia, OH
  • NPI 1720289267
  NPD (past)
• Lakeland Family Medicine, Inc

  • Family Medicine Physician
  • New Philadelphia, OH
  • NPI 1932201365
  NPD (past)
• White Trillium Emergency Physicians LLC

  • Emergency Medicine Physician
  • Cambridge, OH
  • NPI 1720364631
  NPD (past)

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1295067122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MCDONALD DRIVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "44663",
            "telephone_number": "330-308-8999",
            "fax_number": "330-308-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MCDONALD DRIVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "44663",
            "telephone_number": "330-308-8999",
            "fax_number": "330-308-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOCKNER",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "002987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kerr
• Brienne Kilpatrick, DPT
• Kindra S. Browning, DO Corporation
• Sara Elisabeth King, CNP
• Jessica Lee Kinsey, LISW-S
• Angela Knisely, RN
• Deborah Kolat, PTA
• Kay Kopp, LPCC
• Koran L. Zehnder
• Kary Kuhn, LPCC

• Medical Physician Assistant in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.

Verify at the official NPI Registry.