Individual provider Active NPI

Audrea Nichole Oaks, PA-C

  • Physician Assistant
  • Parma, OH
National Provider Identifier
1437420346
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-003596 Issued in OH
Practice address
7007 Powers Blvd
Suite 207
Parma, OH 44129-5437
Phone
(440) 743-3000
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07555 TX
Physician Assistant 363A00000X 50-003596 OH Primary

Addresses

Primary practice location

7007 Powers Blvd
Suite 207
Parma, OH 44129-5437

Mailing address

PO Box 771898
Detroit, MI 48277-1898
Phone (440) 879-0081

Other identifiers 1

IdentifierTypeStateIssuer
0078590MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130212000556 OH Practitioner - Physician Assistant 5496909889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran HospitalGroup PAC ID 2466358387, 24 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1730 W 25TH St
Cleveland, OH 44113-3108
Phone (440) 826-1822

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50-003596OHMDPhysician Assistant
PA07555TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Hospital CurrentSince Dec 16, 2023 Accepting new patients
Cottle Pathology Services, Inc Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 15, 2019 Accepting new patients
Wooster Clinic, LLC CurrentSince Dec 16, 2023 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 15, 2019 Accepting new patients
Parma Community General Hospital Association CurrentSince Jan 1, 2016 Accepting new patients
Parma Community General Hospital Association CurrentSince Jan 1, 2016 Accepting new patients

Locations

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

7007 Powers Blvd
Ste 207
Parma, OH 44129

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

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: aoaks28469@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 2

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1437420346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771898",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482771898",
            "telephone_number": "440-879-0081",
            "fax_number": "440-879-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 POWERS BLVD",
            "address_2": "SUITE 207",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295437",
            "telephone_number": "440-743-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKS",
        "first_name": "AUDREA",
        "middle_name": "NICHOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07555",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-003596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078590",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.