Individual provider Active NPI

Andrew Schwall, PA

  • Physician Assistant
  • Canal Winchester, OH
National Provider Identifier
1730856170
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006933RX Issued in OH
Practice address
7901 Diley Rd Ste 260
Canal Winchester, OH 43110-9613
Phone
(614) 920-1000
Fax
(614) 920-1007
NPI assigned
Aug 24, 2021
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 50.006933RX OH Primary

Addresses

Primary practice location

7901 Diley Rd Ste 260
Canal Winchester, OH 43110-9613

Mailing address

7901 Diley Rd Ste 260
Canal Winchester, OH 43110-9613
Phone (614) 920-1000

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
I20221111001466 OH Practitioner - Physician Assistant 1153798665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Wound Solutions, LLCGroup PAC ID 5597244194, 7 clinicians
Diley Medical Group LLCGroup PAC ID 3870662752, 10 clinicians

Practice addresses (Care Compare)

784 Medina Rd
Suite 104
Medina, OH 44256-9634
Phone (330) 661-4008

7901 Diley Rd
Suite 260
Canal Winchester, OH 43110-9613
Phone (614) 920-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.006933RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Wound Solutions, LLC Physician Assistant CurrentSince Feb 9, 2026 Accepting new patients

Locations

784 Medina Rd
Ste 104
Medina, OH 44256
Phone (330) 661-4008

784 Medina Rd
Ste 107
Medina, OH 44256
Phone (330) 591-9635

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1730856170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD STE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109613",
            "telephone_number": "614-920-1000",
            "fax_number": "614-920-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD STE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109613",
            "telephone_number": "614-920-1000",
            "fax_number": "614-920-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALL",
        "first_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006933RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.