Individual provider Active NPI

Kathryn Whitten, PA-C

  • Physician Assistant
  • Chardon, OH
National Provider Identifier
1437747938
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006751RX Issued in OH
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

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0483062MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419002688 OH Practitioner - Physician Assistant 0547657645 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Oct 10, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physician Assistant CurrentSince Oct 10, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.