Ellen M. Spraggins, PAC, M.P.A.S

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50000480 Issued in OH

Practice address

300 North Commons Blvd.
F11
Mayfield Village, OH 44143

Phone

(440) 446-7677

Fax

(440) 395-0163

NPI assigned

Feb 6, 2007

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Progressive Casualty Insurance Company

  • Primary Care Clinic/Center
  • Mayfield Village, OH
  • NPI 1447491410
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1730228495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WILSON MILLS RD",
            "address_2": "W31",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-446-7677",
            "fax_number": "440-446-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH COMMONS BLVD.",
            "address_2": "F11",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-446-7677",
            "fax_number": "440-395-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGGINS",
        "first_name": "ELLEN",
        "middle_name": "M.",
        "credential": "PAC, M.P.A.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Annmarie Shuba
• Trysa Shulman, PSY.D.
• Abigail Silvester, MS, RDN, LD
• Betsy Allison Soshnik
• Katherine C Southall
• Rebecca I Streem, LISW
• Leah Strom, SLP
• Richard Edward Sullivan Jr., D.C.
• Heidi M Tarro, PT
• Candice Taylor, BCBA

• Physician Assistant in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.