Individual provider Active NPI

Stephanie J Whitling, PA-C

  • Physician Assistant
  • Fairlawn, OH
National Provider Identifier
1538269105
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002223 Issued in OH
Practice address
3535 S Smith Rd Ste a
Fairlawn, OH 44333-9270
Phone
(330) 208-2720
Fax
(330) 208-2721
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002223 OH Primary

Addresses

Primary practice location

3535 S Smith Rd Ste a
Fairlawn, OH 44333-9270

Mailing address

2215 E Waterloo Rd
Ste 313
Akron, OH 44312-3856
Phone (330) 208-2720

Other practice location 1

185 Wadsworth Rd
Rundle Building
Wadsworth, OH 44281-9585
Phone (330) 208-2720

Other practice location 2

1560 Corporate Woods Pkwy
Uniontown, OH 44685-8730
Phone (330) 208-2720

Other practice location 3

9150 Market Square Dr
Streetsboro, OH 44241-4571
Phone (330) 208-2720

Other practice location 4

3780 Medina Rd Ste 110
Medina, OH 44256-9312
Phone (330) 208-2720

Other practice location 5

3051 Graham Rd
Stow, OH 44224-3654
Phone (330) 208-2720

Other identifiers 1

IdentifierTypeStateIssuer
0088585MedicaidOH

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
I20041119000603 OH Practitioner - Physician Assistant 1355306267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1000 E Washington St
Medina, OH 44256-2170
Phone (330) 725-1000

17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000

2001 E Royalton Rd
Broadview Heights, OH 44147-2811

26900 Cedar Rd
Beachwood, OH 44122-1191
Phone (216) 839-3000

2785 Som Ctr Rd
Willoughby Hills, OH 44094-6501
Phone (440) 975-5575

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

970 E Washington St
Medina, OH 44256-3332
Phone (330) 721-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.002223OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Apr 26, 2023 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Apr 26, 2023 Accepting new patients

Locations

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538269105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E WATERLOO RD",
            "address_2": "STE 313",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123856",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S SMITH RD STE A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339270",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Wadsworth Rd",
            "address_2": "Rundle Building",
            "address_purpose": "LOCATION",
            "city": "Wadsworth",
            "state": "OH",
            "postal_code": "442819585",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Corporate Woods Pkwy",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446858730",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9150 Market Square Dr",
            "address_purpose": "LOCATION",
            "city": "Streetsboro",
            "state": "OH",
            "postal_code": "442414571",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3780 Medina Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442569312",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3051 Graham Rd",
            "address_purpose": "LOCATION",
            "city": "Stow",
            "state": "OH",
            "postal_code": "442243654",
            "country_code": "US",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLING",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.