Individual provider Active NPI

Dina L Wolanin, PA

  • Physician Assistant
  • Parma, OH
National Provider Identifier
1790198778
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004025 Issued in OH
Practice address
6115 Powers Blvd Ste 100
Parma, OH 44129-5469
Phone
(440) 842-1570
Fax
(440) 842-8230
NPI assigned
Jun 6, 2014
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 50.004025 OH Primary

Addresses

Primary practice location

6115 Powers Blvd Ste 100
Parma, OH 44129-5469

Mailing address

PO Box 378
Sandusky, OH 44871-0002
Phone (419) 609-1112

Other names 1

  • Dina L Falvo Former name

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
I20140627001093 OH Practitioner - Physician Assistant 8325263775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3201 Enterprise Pkwy
Suite 370
Beachwood, OH 44122-7337

PO Box
Carol Stream, IL 60197

PO Box
Suite 378
Sandusky, OH 44871

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.004025OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group, Inc CurrentSince Jan 1, 2026 Accepting new patients
Northern Ohio Medical Specialists LLC CurrentSince Sep 7, 2020 Accepting new patients
Southwest General Medical Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Sep 7, 2020 Accepting new patients
Southwest General Medical Group Inc Past Accepting new patients

Locations

15299 Bagley Rd
Ste 100
Middleburg Heights, OH 44130
Phone (440) 816-6432

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

6115 Powers Blvd
Ste 100
Parma, OH 44129
Phone (440) 842-1570

6820 Ridge Rd
Ste 100
Parma, OH 44129

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1790198778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710002",
            "telephone_number": "419-609-1112",
            "fax_number": "419-502-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 POWERS BLVD STE 100",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295469",
            "telephone_number": "440-842-1570",
            "fax_number": "440-842-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLANIN",
        "first_name": "DINA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "FALVO",
            "middle_name": "L",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.