Individual provider Active NPI

Zoe Springstubb, PA-C

  • Physician Assistant
  • Lakewood, OH
National Provider Identifier
1730586942
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1212 Hathaway Ave Apt 2
Lakewood, OH 44107-2722
Phone
(617) 817-3054
NPI assigned
Dec 3, 2014
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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 OH Primary

Addresses

Primary practice location

1212 Hathaway Ave Apt 2
Lakewood, OH 44107-2722

Mailing address

1212 Hathaway Ave Apt 2
Lakewood, OH 44107-2722
Phone (617) 817-3054

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
I20151111000314 OH Practitioner - Physician Assistant 1850601410 Reassigns benefits to 4 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

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-8447

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Cleveland Medical Center Physician Assistant CurrentSince Oct 1, 2017 Accepting new patients
Cleveland Clinic Health System - East Region CurrentSince Oct 14, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Feb 15, 2017 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Sep 29, 2015 Accepting new patients

Locations

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

11100 Euclid Ave
Cleveland Heights, OH 44106

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

Interoperability endpoints

  • Direct secure messaging: zspringstubb590176@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1730586942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HATHAWAY AVE APT 2",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072722",
            "telephone_number": "617-817-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HATHAWAY AVE APT 2",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072722",
            "telephone_number": "617-817-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGSTUBB",
        "first_name": "ZOE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.