Active NPI
Alexis Angers
- Physician Assistant
- Avon, OH
National Provider Identifier
1477092625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.004975RX
- Practice address
- 33300 Cleveland Clinic Blvd
Avon, OH 44011-1390 - Phone
- (216) 986-1256
- NPI assigned
- Feb 21, 2017
- Last updated
- Jun 11, 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 | 50.004975RX | OH | Primary |
Addresses
Primary practice location
33300 Cleveland Clinic Blvd
Avon, OH 44011-1390
Mailing address
6000 W Creek Rd
Suite 10
Independence, OH 44131-2182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63031 | CA | MD | Pharmacist |
| 50.004975RX | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1477092625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 W CREEK RD",
"address_2": "SUITE 10",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33300 CLEVELAND CLINIC BLVD",
"city": "AVON",
"state": "OH",
"postal_code": "440111390",
"telephone_number": "216-986-1256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGERS",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.004975RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.