Individual provider Active NPI

Virginia S Wladecki, PA

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1982651550
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50000626 Issued in OH
Practice address
18101 Lorain Avenue Cleveland Clinic - Fairview Hospita
Emergency Services
Cleveland, OH 44111-5612
Phone
(216) 476-7312
NPI assigned
May 28, 2006
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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 50000626 OH Primary

Addresses

Primary practice location

18101 Lorain Avenue Cleveland Clinic - Fairview Hospita
Emergency Services
Cleveland, OH 44111-5612

Mailing address

18101 Lorain Avenue Cleveland Clinic - Fairview Hospita
Emergency Services
Cleveland, OH 44111-5612
Phone (216) 476-7312

Other identifiers 1

IdentifierTypeStateIssuer
P00110926OtherOHMEDICARE TRAVELERS RR-GA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
74.46
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50000626OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Ohio, Inc. Physician Assistant Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1982651550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 LORAIN AVENUE CLEVELAND CLINIC - FAIRVIEW HOSPITA",
            "address_2": "EMERGENCY SERVICES",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115612",
            "telephone_number": "216-476-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 LORAIN AVENUE CLEVELAND CLINIC - FAIRVIEW HOSPITA",
            "address_2": "EMERGENCY SERVICES",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115612",
            "telephone_number": "216-476-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLADECKI",
        "first_name": "VIRGINIA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00110926",
            "state": "OH"
        }
    ],
    "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 Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.