Caroline Church

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007600RX Issued in OH

Practice address

3999 Richmond Rd
Beachwood, OH 44122-6046

Phone

(216) 593-1540

Fax

(216) 201-5283

NPI assigned

Dec 20, 2020

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

Enrolled in OH, CO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cchurch28333@ehrdirect.uhhospitals.org

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.

• University Hospitals Ahuja Medical Center, Inc

  • General Acute Care Hospital
  • Beachwood, OH
  • NPI 1609189604
  Medicare reassignment NPD
• Usacs Observation Medicine Services of Colorado Inc.

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1518491232
  Medicare reassignment
• Usacs of Colorado, Inc

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1760415871
  Medicare reassignment
• University Hospitals Ahuja Medical Center

  • Community/Retail Pharmacy
  • Beachwood, OH
  • NPI 1326522913
  NPD
• Usacs of Colorado Inc

  • Emergency Medicine Physician
  • Durango, CO
  • NPI 1235765074
  NPD
• Usacs of Colorado Inc

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1720614217
  NPD

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1629664966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 RICHMOND RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226046",
            "telephone_number": "216-593-1540",
            "fax_number": "216-201-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 RICHMOND RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226046",
            "telephone_number": "216-593-1540",
            "fax_number": "216-201-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007600RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Christian, D.C.
• Nyssa Ann Christie, D.P.M.
• Christine N. Orr, PH.D., Inc
• Samantha Christy, RDN
• Debby Chuang
• Anthony J. Ciavarella, PA-C
• Lindsay Ciccone, RD
• Yael Cik, MS CCC-SLP
• Emily Cikra, LSW, CDCA
• Jennifer Blaise Cinelli, N.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.

Verify at the official NPI Registry.