Individual provider Active NPI

Ashley Nichole Head, PA-C

  • Medical Physician Assistant
  • Euclid, OH
National Provider Identifier
1902408685
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.006655RX Issued in OH
Practice address
18599 Lake Shore Blvd Ste 400
Euclid, OH 44119-1074
Phone
(216) 383-5303
Fax
(216) 383-5309
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.006655RX OH Primary

Addresses

Primary practice location

18599 Lake Shore Blvd Ste 400
Euclid, OH 44119-1074

Mailing address

18599 Lake Shore Blvd Ste 400
Euclid, OH 44119-1074
Phone (163) 836-0672

Other practice location 1

2999 McMackin Rd
Madison, OH 44057-2330
Phone (440) 428-1111

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
I20201204002373 OH Practitioner - Physician Assistant 7719398288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
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)

2999 McMackin Rd
Madison, OH 44057-2330
Phone (440) 428-1111

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

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Jan 4, 2021 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 17, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 4, 2021 Accepting new patients

Locations

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

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

18599 Lake Shore Blvd
Ste 400
Euclid, OH 44119
Phone (216) 383-3803

18599 Lake Shore Blvd
Ste 200
Euclid, OH 44119
Phone (216) 383-5303

2999 McMackin Rd
Madison, OH 44057
Phone (440) 428-1111

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

Interoperability endpoints

  • Direct secure messaging: ahead28330@ehrdirect.uhhospitals.org

Organizations & group practices 4

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1902408685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18599 LAKE SHORE BLVD STE 400",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191074",
            "telephone_number": "163-836-0672",
            "fax_number": "216-383-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18599 LAKE SHORE BLVD STE 400",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191074",
            "telephone_number": "216-383-5303",
            "fax_number": "216-383-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2999 McMackin Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "OH",
            "postal_code": "440572330",
            "country_code": "US",
            "telephone_number": "440-428-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAD",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.006655RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.