Jennifer Louise Pedrazas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007364RX Issued in OH

Practice address

2875 W Market St Ste B
Fairlawn, OH 44333-4065

Phone

(330) 864-1916

NPI assigned

Feb 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Jennifer Piller Former name

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

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.

• Summa Physicians LLC

  dba Summa Health Medical Group

  • Obstetrics & Gynecology Physician
  • Akron, OH
  • NPI 1235167719
  Medicare reassignment Care Compare group
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Geriatric Medicine (Internal Medicine) Physician
  • Uniontown, OH
  • NPI 1457662769
  NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Akron, OH
  • NPI 1770994790
  NPD
• Oncology Care Associates, PLLC

  • Hematology & Oncology Physician
  • Saint Joseph, MI
  • NPI 1982637104
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508035460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GORGE BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102408",
            "telephone_number": "234-312-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 W MARKET ST STE B",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334065",
            "telephone_number": "330-864-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAZAS",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004620",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA194857",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007364RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508035460",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA194857",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PILLER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• J. Joseph Payton, D.O.
• PC Dental Specialties Luis Pires DMD LLC (Fairlawn Periodontics)
• Peace River Consulting and Wellness, LLC
• Peak Family Chiropractic LLC
• John C Pedersen, M.D.
• Kelli Lambert Peiffer, D.O.
• Anthony Michael Pelini, PA-C
• Brandon Pendleton
• Dwynica S Pendleton
• Joshua Penman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.