Alexis Angers
Individual provider Active NPI Physician Assistant · Avon, OH
NPI 1477092625 · NPPES record last updated Jun 11, 2021
Key facts
- NPI
- 1477092625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.004975RX (OH)
- Practice address
- 33300 Cleveland Clinic Blvd
Avon, OH 44011-1390 - Phone
- (216) 986-1256
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63031 | CA | MD | Dentist |
| 50.004975RX | OH | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.004975RX | OH | Yes |
Addresses
Primary practice location
33300 Cleveland Clinic Blvd
Avon, OH 44011-1390
Mailing address
6000 W Creek Rd
Suite 10
Independence, OH 44131-2182
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.