NPIMap

Individual provider Active NPI

Sharon Scully, PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1609837582
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001244 Issued in OH
Practice address
1001 Lakeside Ave E
Suite 1200
Cleveland, OH 44114-1158
Phone
(800) 837-6764
NPI assigned
Mar 30, 2006
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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 50001244 OH Primary

Addresses

Primary practice location

1001 Lakeside Ave E
Suite 1200
Cleveland, OH 44114-1158

Mailing address

3040 Edgehill Rd
Cleveland HTS, OH 44118-2020
Phone (216) 371-9660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sharonscully@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419000006 OH Practitioner - Physician Assistant 2365480696 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50001244OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Cleveland Medical Center Physician Assistant CurrentSince Oct 15, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 1, 2019 Accepting new patients
University Primary Care Practices Inc CurrentSince Mar 1, 2019 Accepting new patients
Lake Emergency Services Inc Past Accepting new patients
Emergency Professionals of Ohio, Inc. Physician Assistant Past Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

Interoperability endpoints

  • Direct secure messaging: sharonscully@uhps.allscriptsdirect.net
  • Direct secure messaging: sscully28418@ehrdirect.uhhospitals.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1609837582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 EDGEHILL RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441182020",
            "telephone_number": "216-371-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAKESIDE AVE E",
            "address_2": "SUITE 1200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141158",
            "telephone_number": "800-837-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "SHARON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharonscully@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "11100 Euclid Ave., Cleveland, Ohio 44106",
            "address_1": "1001 Lakeside Ave E",
            "address_2": "Suite 1200",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441141158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.