Active NPI
John Edmund Palmer III, PA-C
- Physician Assistant
- Willoughby, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.008952RX
- Practice address
- 36000 Euclid Ave
Willoughby, OH 44094-4625 - Phone
- (440) 953-9600
- NPI assigned
- Dec 24, 2013
- Last updated
- Mar 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04660 | NC | |
| Physician Assistant | 363A00000X | 50.008952RX | OH | Primary |
Addresses
Primary practice location
36000 Euclid Ave
Willoughby, OH 44094-4625
Mailing address
36000 Euclid Ave
Willoughby, OH 44094-4625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (440) 953-9600
36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-04660 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Lake Hospital System, Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Past | Accepting new patients |
Locations
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Interoperability endpoints
- jpalmer449501@direct.medicine.duke.edu
- jpalmer638665@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Middlefield, OH
- NPI 1952339996
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
dba Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
-
dba Lake Health Urgent Care and Walk In Clinic
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
dba LHPG Thomas Euclid Family Practice
- Family Medicine Physician
- Euclid, OH
- NPI 1366721763
-
dba Duke Home Infusion
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
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": "1387843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1447671177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36000 EUCLID AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 EUCLID AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944625",
"telephone_number": "440-953-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JOHN",
"middle_name": "EDMUND",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-24",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04660",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.008952RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.