Individual provider Active NPI

Raymond H Wawrowski, PA-C

  • Physician Assistant
  • Hudson, OH
National Provider Identifier
1750343422
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.000848RX Issued in OH
Practice address
5700 Darrow Road
Suite 106
Hudson, OH 44236
Phone
(330) 656-9304
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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 50.000848RX OH Primary

Addresses

Primary practice location

5700 Darrow Road
Suite 106
Hudson, OH 44236

Mailing address

8423 Market St
Ste 101
Boardman, OH 44512-6778
Phone (330) 729-8700

Other identifiers 1

IdentifierTypeStateIssuer
0082876MedicaidOH

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
I20100405000557 OH Practitioner - Physician Assistant 5597815852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

175 E Broad St
Newton Falls, OH 44444-1708
Phone (330) 872-2010

1977 Niles Rd SE
Warren, OH 44484-5118
Phone (330) 393-6446

726 Wick Ave
Youngstown, OH 44505-2827
Phone 330747955177182

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio North East Health Systems Inc CurrentSince Nov 17, 2025 Accepting new patients
American Wound Care Partners CurrentSince Dec 27, 2023 Accepting new patients
Ohio North East Health Systems, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Mercy Health Physicians Youngstown, LLC Physician Assistant Past Accepting new patients
Community Hospitalist, LLC Past Accepting new patients
Emergency Services of Central Ohio LLC Past Accepting new patients
Lake Emergency Services Inc Past Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

175 E Broad St
Newton Falls, OH 44444
Phone (330) 747-9551

300 E Business Way
Ste 200
Sharonville, OH 45241
Phone (513) 224-3597

1977 Niles Rd SE
Warren, OH 44484
Phone (330) 372-5800

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: raymond.wawrowski.p1@direct.oho.nextgenshare.com

Organizations & group practices 7

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 2

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1750343422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 MARKET ST",
            "address_2": "STE 101",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126778",
            "telephone_number": "330-729-8700",
            "fax_number": "330-729-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 DARROW ROAD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "330-656-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWROWSKI",
        "first_name": "RAYMOND",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.000848RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.