Maureen Bridget Doolan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004841RX Issued in OH

Practice address

4450 Saint Clair Ave
Cleveland, OH 44103-1126

Phone

(216) 431-0927

NPI assigned

Oct 14, 2016

Sex

Female

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

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.

• American Current Care of Ohio PA Co

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1023292943

  OH

  Medicare reassignment NPD
• Kiva Shtull MD

  • Corporate Health Clinic/Center
  • Cleveland, OH
  • NPI 1255740619
  NPD (past)
• Occucenters East Side

  • Occupational Medicine Clinic/Center
  • Cleveland, OH
  • NPI 1760727499
  NPD (past)

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1376094367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031126",
            "telephone_number": "216-431-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031126",
            "telephone_number": "216-431-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLAN",
        "first_name": "MAUREEN",
        "middle_name": "BRIDGET",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004841RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Donovan, PA-C
• Zachary Donoviel, MD
• Curtis J Donskey, M.D.
• Elizabeth Donzello-Jewett
• Adama Donzo
• Han Dooley, MSSA, LISW
• Mary Dooley
• Charles Mackenzie Doolittle, DO
• Rose McCoy Doolittle, MD
• Woo Kyung Lee Doolittle, MD, PHD

• Physician Assistant in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.