Individual provider Active NPI

Karen Kiehnau, PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1689620718
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50000957 Issued in OH
Practice address
18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612
Phone
(216) 476-7312
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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 50000957 OH Primary

Addresses

Primary practice location

18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612

Mailing address

18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital
Emergency Services
Cleveland, OH 44111-5612
Phone (216) 476-7312

Other identifiers 1

IdentifierTypeStateIssuer
P00110933OtherOHMEDICARE TRAVELERS RR-GA

Other names 1

  • Karen Szostakowski Former name

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
I20040525001785 OH Practitioner - Physician Assistant 2961483250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50000957OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Ohio, Inc. Physician Assistant Past Accepting new patients
Medina Emergency Associates LTD Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1689620718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL",
            "address_2": "EMERGENCY SERVICES",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115612",
            "telephone_number": "216-476-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL",
            "address_2": "EMERGENCY SERVICES",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115612",
            "telephone_number": "216-476-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEHNAU",
        "first_name": "KAREN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00110933",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SZOSTAKOWSKI",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.