Individual provider Active NPI

Gwendolyn Ellen Fletcher, MD

  • Emergency Medicine Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1407015647
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57013400 Issued in OH
Practice address
3087 Timber Brook Dr
Cuyahoga Falls, OH 44223-3536
Phone
(419) 367-4287
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 57013400 OH Primary

Addresses

Primary practice location

3087 Timber Brook Dr
Cuyahoga Falls, OH 44223-3536

Mailing address

3087 Timber Brook Dr
Cuyahoga Falls, OH 44223-3536
Phone (419) 367-4287

Other names 1

  • Miss Gwendolyn Ellen Flowers Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000545 OH Practitioner - Emergency Medicine 4688706872 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Link Center LLCGroup PAC ID 8527969492, 49 clinicians

Practice addresses (Care Compare)

6847 N Chestnut St
Ravenna, OH 44266-3929
Phone (240) 686-2300

Hospital & facility affiliations

  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
81.27
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57013400OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Emergency Associates, Inc. Emergency Medicine CurrentSince Jul 1, 2010 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
Ues Geauga, LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jun 20, 2018 Accepting new patients
Summa Emergency Associates Emergency Medicine Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

411 Devon Pl
Ste A
Kent, OH 44240
Phone (330) 677-7680

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Interoperability endpoints

  • Direct secure messaging: gfletcher38071@ehrdirect.uhhospitals.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1407015647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3087 TIMBER BROOK DR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233536",
            "telephone_number": "419-367-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 TIMBER BROOK DR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233536",
            "telephone_number": "419-367-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "GWENDOLYN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "57013400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "FLOWERS",
            "middle_name": "ELLEN",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.