Individual provider Active NPI

Joseph Maclellan, PA-C

  • Physician Assistant
  • Lorain, OH
National Provider Identifier
1679889521
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003170RX Issued in OH
Practice address
5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152
Phone
(440) 204-7400
NPI assigned
Aug 28, 2010
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 50.003170RX OH Primary

Addresses

Primary practice location

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152

Mailing address

622 Yarmouth Dr
Bay Village, OH 44140-1755
Phone (440) 334-7777

Other identifiers 1

IdentifierTypeStateIssuer
0000MedicaidOH

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
I20110202000008 OH Practitioner - Physician Assistant 0749460145 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1813 Nagel Rd
Suite 500
Avon, OH 44011-6401
Phone (440) 695-6740

27089 Bagley Rd
Olmsted TWP, OH 44138-1103
Phone (440) 234-4700

303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone (440) 366-9444

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152
Phone (440) 204-7400

7580 Northcliff Ave
Suite 700
Brooklyn, OH 44144-3271
Phone (216) 444-2200

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

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Feb 21, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince May 10, 2021 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Feb 21, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Jan 9, 2023 Accepting new patients
University Primary Care Practices Inc CurrentSince May 10, 2021 Accepting new patients
Ohio Em-I Medical Services, Professional Association Physician Assistant Past Accepting new patients
Erie Banks Emergency Physicians LLC Physician Assistant Past Accepting new patients

Locations

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

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

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

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

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

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

5700 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 204-7400

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

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

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: jmaclellan39750@ehrdirect.uhhospitals.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1679889521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 YARMOUTH DR",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401755",
            "telephone_number": "440-334-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 COOPER FOSTER PARK RD W",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534152",
            "telephone_number": "440-204-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLELLAN",
        "first_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-28",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003170RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.