Rebecca Lynn Radabaugh, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007750RX Issued in OH

Practice address

3557 Embassy Pkwy
Akron, OH 44333-8358

Phone

(330) 670-4242

Fax

(330) 670-4241

NPI assigned

May 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Crystal Clinic Orthopaedic Center LLC

  • Special Hospital
  • Akron, OH
  • NPI 1669669917
  NPD
• Crystal Clinic Orthopaedic Center LLC

  • Special Hospital
  • Akron, OH
  • NPI 1811651508

  Physician Assistant

  NPD
• Children'S Hospital Medical Center of Akron

  • Home Infusion Agency
  • Akron, OH
  • NPI 1649485848
  NPD (past)
• Children'S Hospital Medical Center of Akron

  • Pediatrics Physician
  • Akron, OH
  • NPI 1841328853
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1497493829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 HESS MILL RD NE",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "446128714",
            "telephone_number": "330-663-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 EMBASSY PKWY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338358",
            "telephone_number": "330-670-4242",
            "fax_number": "330-670-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADABAUGH",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007750RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Rabins
• Rachael Muster Lpccs LLC
• Rachels Wings Home Healthcare Services LLC
• Chylin Rackley
• Krystal S Rackley
• Alexis Radford, LCDCII
• Radiation Oncology Physicians LLC
• Radiology and Imaging Services
• Radiology and Imaging Services
• Radiology and Imaging Services Reading Center

• Physician Assistant in Akron, OH
• Providers in Akron, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.