NPIMap

Individual provider Active NPI

Julie Ann Klucar, P.A.-C.

  • Physician Assistant
  • Akron, OH
National Provider Identifier
1962513697
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103543 Issued in FL
Practice address
3975 Embassy Pkwy Ste 102
Akron, OH 44333-8335
Phone
(330) 668-4040
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 50.006432RX OH
Physician Assistant 363A00000X PA9103543 FL Primary

Addresses

Primary practice location

3975 Embassy Pkwy Ste 102
Akron, OH 44333-8335

Mailing address

3975 Embassy Pkwy Ste 102
Akron, OH 44333-8335
Phone (330) 668-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060302000130 FL Practitioner - Physician Assistant 3870509789 Reassigns benefits to 1 organization
I20200605000970 OH Practitioner - Physician Assistant 3870509789 Reassigns benefits to 2 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
Crystal Clinic, Inc.Group PAC ID 7214821586, 46 clinicians

Practice addresses (Care Compare)

3925 Embassy Pkwy
Suite 200
Akron, OH 44333-8400
Phone (330) 668-4050

3975 Embassy Pkwy
Suite 202
Akron, OH 44333-8395
Phone (330) 668-4085

4975 Foote Rd
Suite 100
Medina, OH 44256-8748
Phone (330) 721-8232

Hospital & facility affiliations

  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sebastian Hma Physician Management LLC CurrentSince Sep 20, 2010 Accepting new patients
Crystal Clinic Inc CurrentSince Jul 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Crystal Clinic Orthopaedic Center LLC CurrentSince Jun 17, 2022 Accepting new patients
Crystal Clinic Orthopaedic Center LLC Physician Assistant CurrentSince Jun 17, 2022 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients
Crystal Clinic Orthopaedic Center, LLC Past Accepting new patients

Locations

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

13840 US Highway 1
Sebastian, FL 32958
Phone (772) 581-0334

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

13000 US Highway 1
Ste 5
Sebastian, FL 32958
Phone (772) 581-5881

8005 Bay St
Ste 2
Sebastian, FL 32958
Phone (321) 956-0495

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

437 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 929-9136

3925 Embassy Pkwy
Ste 200
Fairlawn, OH 44333
Phone (330) 668-4055

3975 Embassy Pkwy
Ste 102
Fairlawn, OH 44333
Phone (330) 668-4050

1310 Corporate Dr
Hudson, OH 44236
Phone (330) 344-3030

4975 Foote Rd
Ste 100
Medina, OH 44256

Organizations & group practices 9

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 12

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1962513697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 EMBASSY PKWY STE 102",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338335",
            "telephone_number": "330-668-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 EMBASSY PKWY STE 102",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338335",
            "telephone_number": "330-668-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCAR",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-04-05",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006432RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.