Individual provider Active NPI

Karin R Danklefsen, PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1801844485
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003093 Issued in OH
Practice address
9500 Euclid Ave # A60
Cleveland, OH 44195-0001
Phone
(216) 445-8512
Fax
(216) 444-9419
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2196 CO
Physician Assistant 363A00000X 50.003093 OH Primary

Addresses

Primary practice location

9500 Euclid Ave # A60
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave # A60
Cleveland, OH 44195-0001
Phone (216) 445-8512

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
I20101007000064 OH Practitioner - Physician Assistant 8123031549 Reassigns benefits to 4 organizations

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
Cleveland Clinic Avon HospitalGroup PAC ID 0547552630, 21 clinicians
Cleveland Clinic Health System - East RegionGroup PAC ID 2264337955, 97 clinicians

Practice addresses (Care Compare)

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

33300 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-5000

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone (440) 449-4500

Hospital & facility affiliations

  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.003093OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Sep 10, 2013 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Sep 10, 2013 Accepting new patients
Cleveland Clinic Health System - East Region CurrentSince Aug 22, 2010 Accepting new patients

Locations

33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 686-0105

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

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

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

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

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

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

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

20050 Harvard Ave
Ste 106
Warrensville Heights, OH 44122
Phone (216) 491-7118

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 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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1801844485",
    "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",
            "telephone_number": "216-445-8512",
            "fax_number": "216-444-9419"
        },
        {
            "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": "216-445-8512",
            "fax_number": "216-444-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKLEFSEN",
        "first_name": "KARIN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2196",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.