Active NPI
Anthony Peter Demetro, PA-C
- Physician Assistant
- Massillon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.007315RX
- Practice address
- 2935 Lincoln Way NW
Massillon, OH 44647-5203 - Phone
- (330) 236-2300
- NPI assigned
- Jul 15, 2020
- Last updated
- Nov 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.007315RX | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
2935 Lincoln Way NW
Massillon, OH 44647-5203
Mailing address
6012 Ackley Rd
Parma, OH 44129-4602
Phone (330) 904-8334
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1634 Snow Rd
Parma, OH 44134-2719
Phone (440) 368-1520
2209 Crocker Rd
Suite D
Westlake, OH 44145-6727
Phone (440) 249-6060
36001 Euclid Ave
Unit 5
Willoughby, OH 44094-4643
Phone (440) 484-2160
3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810
5901 E Royalton Rd
Suite 1400B
Broadview Heights, OH 44147-3532
Phone (440) 499-5900
6836 Ridge Rd
Parma, OH 44129-5627
Phone (216) 490-1120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.007315RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| University Hospitals Urgent Care, LLC | Current | Accepting new patients | |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients |
Locations
3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
2935 Lincoln Way NW
Massillon, OH 44647
Phone (330) 236-2285
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Interoperability endpoints
- ademetro593749@ehrdirect.uhhospitals.org
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Beachwood, OH
- NPI 1124765052
-
dba Mercy Medical Center
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Dental Clinic/Center
- Canton, OH
- NPI 1023362100
-
dba Uhmp
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
dba Center for Orthopedics
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Uhcmc
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
dba University Hospitals Mentor Health Center
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
dba University Hospitals Westlake Health Center
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
dba UH Case Medical Center
- Clinic/Center
- Cleveland, OH
- NPI 1760673412
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1760090807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6012 ACKLEY RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441294602",
"telephone_number": "330-904-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 LINCOLN WAY NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446475203",
"telephone_number": "330-236-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMETRO",
"first_name": "ANTHONY",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2021-11-03",
"certification_date": "2021-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.007315RX",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.