Individual provider Active NPI

Nadia Hasan, PA-C

  • Physician Assistant
  • Avon, OH
National Provider Identifier
1710549787
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007547RX Issued in OH
Practice address
33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone
(440) 695-4000
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9112256 FL
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 50.007547RX OH Primary

Addresses

Primary practice location

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390

Mailing address

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20190819002472 FL Practitioner - Physician Assistant 0749518520
I20220829002495 OH Practitioner - Physician Assistant 0749518520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

11851 Detroit Ave
Lakewood, OH 44107-3016
Phone (216) 671-5006

16215 Madison Ave
Lakewood, OH 44107-5618
Phone (216) 237-5888

16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500

19324 Detroit Rd
Rocky River, OH 44116-1802
Phone (440) 356-3640

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

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000

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

850 Columbia Rd
Westlake, OH 44145-7213

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

State licenses

LicenseStateTypeSpecialty
50.007547RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince May 11, 2022 Accepting new patients
The Cleveland Clinic Foundation Single Specialty CurrentSince May 11, 2022 Accepting new patients
Florida Medical Associates LLC Single Specialty CurrentSince Jan 1, 2020 Accepting new patients

Locations

13438 Fort King Rd
Dade City, FL 33525
Phone (352) 567-5266

4316 US Highway 98 N
Lakeland, FL 33809
Phone (352) 567-5266

33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000

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

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

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1710549787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111390",
            "telephone_number": "440-695-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "NADIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112256",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007547RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.