Active NPI
Kathryn Whitten, PA-C
- Physician Assistant
- Chardon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.006751RX
- Practice address
- 150 7TH Ave Ste 200
Chardon, OH 44024-2909 - Phone
- (440) 285-4999
- Fax
- (440) 285-5870
- NPI assigned
- Jan 9, 2021
- 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 | 50.006751RX | OH | Primary |
Addresses
Primary practice location
150 7TH Ave Ste 200
Chardon, OH 44024-2909
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779
Other practice location 1
2351 E 22nd St
Cleveland, OH 44115-3111
Phone (216) 861-6200
Other practice location 2
15389 W High St
Middlefield, OH 44062-9236
Phone (440) 285-4999
Other practice location 3
11800 Washington St
Auburn Twp, OH 44023-9216
Phone (440) 285-4999
Other practice location 4
6701 Rockside Rd Ste 200
Independence, OH 44131-2316
Phone (216) 447-6070
Other practice location 5
890 W Main St
Geneva, OH 44041-1236
Phone (440) 285-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0483062 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Orthopaedics & Sports Medicine LTD | Current | Accepting new patients | |
| Beacon Orthopaedics & Sports Medicine, LTD | Physician Assistant | Current | Accepting new patients |
Locations
11800 Washington St
Chagrin Falls, OH 44023
Phone (440) 285-6452
150 7th Ave
Ste 200
Chardon, OH 44024
Phone (440) 746-1055
6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827
6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650
890 W Main St
Ste 202
Geneva, OH 44041
Phone (440) 285-5004
890 W Main St
Geneva, OH 44041
Phone (216) 508-7639
15389 W High St
Middlefield, OH 44062
Phone (440) 632-0594
Interoperability endpoints
- kathryn.whitten.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 2
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.
-
- Specialist
- Cincinnati, OH
- NPI 1386670065
Physician Assistant
-
- Orthopaedic Foot and Ankle Surgery Physician
- Worthington, OH
- NPI 1699472878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1437747938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-713-1779",
"fax_number": "513-854-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 7TH AVE STE 200",
"city": "CHARDON",
"state": "OH",
"postal_code": "440242909",
"telephone_number": "440-285-4999",
"fax_number": "440-285-5870"
}
],
"practiceLocations": [
{
"address_1": "2351 E 22nd St",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441153111",
"country_code": "US",
"telephone_number": "216-861-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15389 W High St",
"address_purpose": "LOCATION",
"city": "Middlefield",
"state": "OH",
"postal_code": "440629236",
"country_code": "US",
"telephone_number": "440-285-4999",
"fax_number": "440-285-5870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11800 Washington St",
"address_purpose": "LOCATION",
"city": "Auburn Twp",
"state": "OH",
"postal_code": "440239216",
"country_code": "US",
"telephone_number": "440-285-4999",
"fax_number": "440-285-5870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6701 Rockside Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "OH",
"postal_code": "441312316",
"country_code": "US",
"telephone_number": "216-447-6070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "890 W Main St",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "OH",
"postal_code": "440411236",
"country_code": "US",
"telephone_number": "440-285-4999",
"fax_number": "440-285-5870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTEN",
"first_name": "KATHRYN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-09",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.006751RX",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0483062",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.