Individual provider Active NPI

Dawn Craver, PAC

  • Physician Assistant
  • Lewis Center, OH
National Provider Identifier
1679969661
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-004285 Issued in OH
Practice address
8019 Orange Station Loop
Lewis Center, OH 43035-7288
Phone
(330) 502-6065
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 50-004285 OH Primary

Addresses

Primary practice location

8019 Orange Station Loop
Lewis Center, OH 43035-7288

Mailing address

8019 Orange Station Loop
Lewis Center, OH 43035-7288
Phone (330) 502-6065

Other identifiers 1

IdentifierTypeStateIssuer
0158107MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshaulis150916@direct.ohiohealth.com OhioHealth Physician Group

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
I20160309002799 OH Practitioner - Physician Assistant 2961708490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Columbus, OH 43215-4701

111 S Grant Ave 3Rd FL
Columbus, OH 43215-4701
Phone (614) 566-9184

393 E Town St
Columbus, OH 43215-4799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50-004285OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Feb 21, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2016 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Feb 21, 2024 Accepting new patients

Locations

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

3705 Olentangy River Rd
Columbus, OH 43214
Phone (614) 533-6600

Dept L3652
Columbus, OH 43260

285 E State St
Ste 670
Columbus, OH 43215
Phone (614) 566-9290

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

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

Organizations & group practices 4

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.

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1679969661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 ORANGE STATION LOOP",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357288",
            "telephone_number": "330-502-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 ORANGE STATION LOOP",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357288",
            "telephone_number": "330-502-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVER",
        "first_name": "DAWN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-004285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158107",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshaulis150916@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "285 E State St",
            "address_2": "Ste 670",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.