Individual provider Active NPI

John C Fenner, MHS, PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1770769176
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002753RX Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-2007
Phone
(216) 444-2200
NPI assigned
Jan 15, 2008
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 50.002753RX OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-2007

Mailing address

17236 Park Dr
Chagrin Falls, OH 44023-4641
Phone (440) 390-0967

Other practice location 1

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 442-5040

Other practice location 2

18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Phone (440) 816-8000

Other practice location 3

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

Other practice location 4

17236 Park Dr
Chagrin Falls, OH 44023-4641
Phone (440) 390-0967

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
I20090202000555 OH Practitioner - Physician Assistant 3375627763 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

17747 Chillicothe Rd
Suite 100
Chagrin Falls, OH 44023-4765
Phone (440) 543-8855

29800 Bainbridge Rd
Solon, OH 44139-2202
Phone (216) 444-6568

5001 Rockside Rd
Independence, OH 44131-2172
Phone (216) 986-4000

7060 Wayside Dr
Mentor, OH 44060-6527
Phone (440) 357-2770

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 14, 2015 Accepting new patients
Ohio Em-I Medical Services, Professional Association Physician Assistant Past Accepting new patients
Roosevelt Emergency Physicians Past Accepting new patients
Emergency Care Specialists Inc Past Accepting new patients
Emergency Services of Central Ohio LLC Past Accepting new patients
Erie Banks Emergency Physicians LLC Physician Assistant Past Accepting new patients
Old City Emergency Physicians Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

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

11100 Euclid Ave
Cleveland Heights, OH 44106

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

20000 Harvard Ave
Warrensville Heights, OH 44122
Phone (216) 491-7460

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: jfenner39764@ehrdirect.uhhospitals.org

Organizations & group practices 14

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.

View all 14

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1770769176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17236 PARK DR",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234641",
            "telephone_number": "440-390-0967",
            "fax_number": "440-543-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441952007",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Holme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522007",
            "country_code": "US",
            "telephone_number": "215-442-5040",
            "fax_number": "215-957-2875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18697 BAGLEY RD",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441303417",
            "country_code": "US",
            "telephone_number": "440-816-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440044954",
            "country_code": "US",
            "telephone_number": "440-997-2262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17236 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Chagrin Falls",
            "state": "OH",
            "postal_code": "440234641",
            "country_code": "US",
            "telephone_number": "440-390-0967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENNER",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MHS, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002753RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.