Active NPI
Eden Lorene Durham, PA-C
- Physician Assistant
- Cleveland, OH
National Provider Identifier
1922919760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.010603RX
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 444-2200
- NPI assigned
- Sep 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.010603RX | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
1960 Bromton Dr
Lyndhurst, OH 44124-3730
Phone (216) 978-9898
Other practice location 1
6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone (440) 312-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1922919760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 BROMTON DR",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441243730",
"telephone_number": "216-978-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-444-2200"
}
],
"practiceLocations": [
{
"address_1": "6780 Mayfield Rd",
"address_purpose": "LOCATION",
"city": "Mayfield Heights",
"state": "OH",
"postal_code": "441242203",
"country_code": "US",
"telephone_number": "440-312-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURHAM",
"first_name": "EDEN",
"middle_name": "LORENE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-12",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.010603RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.