NPIMap

Individual provider Active NPI

Elaina Bohanon, PA-C

  • Medical Physician Assistant
  • Geneva, OH
National Provider Identifier
1336860642
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
870 W Main St
Geneva, OH 44041-1219
Phone
(440) 466-1141
NPI assigned
Sep 6, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

870 W Main St
Geneva, OH 44041-1219

Mailing address

870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121002611 OH Practitioner - Physician Assistant 1355719444 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Regional Practices LLCGroup PAC ID 3779818638, 26 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

15976 E High St
Suite 100
Middlefield, OH 44062-9474
Phone (440) 632-0770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Conneaut Medical Center CurrentSince Sep 26, 2022 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
University Hospitals Geneva Medical Center CurrentSince Sep 26, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 15, 2025 Accepting new patients
University Hospitals Conneaut Medical Center CurrentSince Sep 26, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 15, 2025 Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

Interoperability endpoints

  • Direct secure messaging: ebohanon218434@ehrdirect.uhhospitals.org

Organizations & group practices 8

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 8

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1336860642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 W MAIN ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411219",
            "telephone_number": "440-466-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 W MAIN ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411219",
            "telephone_number": "440-466-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHANON",
        "first_name": "ELAINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

Verify at the official NPI Registry.