Individual provider Active NPI

Mark C Stebbins, PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1801102710
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003100 Issued in OH
Practice address
9500 Euclid Ave # A60
Cleveland, OH 44195-0001
Phone
(330) 317-1613
NPI assigned
Aug 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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 003100 OH Primary

Addresses

Primary practice location

9500 Euclid Ave # A60
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave # A60
Cleveland, OH 44195-0001

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
I20100928000373 OH Practitioner - Physician Assistant 0749306744 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Healthcare Professionals IncGroup PAC ID 4789596362, 144 clinicians

Practice addresses (Care Compare)

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-4404

618 Pleasantville Rd
Lancaster, OH 43130-3373

Hospital & facility affiliations

  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003100OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Fairview Hospital Physician Assistant CurrentSince Dec 1, 2011 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Fairfield Healthcare Professionals Inc CurrentSince Dec 7, 2020 Accepting new patients
Northcoast Pathology Associates, Inc Current Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Dec 7, 2020 Accepting new patients
Fairfield Healthcare Professionals, Inc. Past Accepting new patients

Locations

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

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

9500 Euclid Ave
#A60
Cleveland, OH 44195
Phone (216) 444-5415

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

618 Pleasantville Rd
Ste 302
Lancaster, OH 43130
Phone (614) 234-5000

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

Organizations & group practices 8

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 1

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1801102710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # A60",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # A60",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "330-317-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "003100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.