Individual provider Active NPI

Alexander J Demyan

  • Family Nurse Practitioner
  • Parma, OH
National Provider Identifier
1457033391
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07230928 Issued in OH
Practice address
1400 W Pleasant Valley Rd
Parma, OH 44134-6720
Phone
(440) 882-6595
NPI assigned
Aug 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07230928 OH Primary

Addresses

Primary practice location

1400 W Pleasant Valley Rd
Parma, OH 44134-6720

Mailing address

1400 W Pleasant Valley Rd
Parma, OH 44134-6720
Phone (440) 882-6595

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
I20250826001615 OH Practitioner - Nurse Practitioner 4082114897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1400 W Pleasant Valley Rd
Parma, OH 44134-6720

8510 Homestead Dr
Olmsted Twp, OH 44138-1862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F07230928OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Express Urgent Care Centers,LLC CurrentSince Jun 14, 2025 Accepting new patients

Locations

1400 W Pleasant Valley Rd
Parma, OH 44134
Phone (440) 334-7173

Interoperability endpoints

  • Direct secure messaging: alexander.demyan.1@9327.direct.athenahealth.com
  • Direct secure messaging: alexander.demyan.1@31377.direct.athenahealth.com

Organizations & group practices 1

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1457033391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W PLEASANT VALLEY RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346720",
            "telephone_number": "440-882-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PLEASANT VALLEY RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346720",
            "telephone_number": "440-882-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMYAN",
        "first_name": "ALEXANDER",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F07230928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.