Active NPI
Emily Studeny, PA-C
- Physician Assistant
- Cleveland, OH
National Provider Identifier
1366874513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC212
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-4471 - Phone
- (216) 444-6738
- NPI assigned
- Jul 30, 2013
- 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 | TC212 | KY | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-4471
Mailing address
2464 Traymore Rd
University Heights, OH 44118-4471
Phone (317) 414-9166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100265670 | Medicaid | KY |
Other names 1
- Emily McCaulay
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC212 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Kings Daughters Medical Specialties Bluegrass Urology
- Cardiovascular Disease Physician
- Ashland, KY
- NPI 1972830404
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1366874513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2464 TRAYMORE RD",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441184471",
"telephone_number": "317-414-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441954471",
"telephone_number": "216-444-6738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUDENY",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100265670",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "MCCAULAY",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.