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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK REID CLUTTER, PA-C

Deactivated Sole Proprietor

MR. MARK REID CLUTTER, PA-C is a Physician Assistant healthcare provider located in LORAIN, Ohio. NPI 1245278555 is deactivated in the NPPES registry. Verify at CMS.

Physician Assistant · LORAIN, OH

This NPI has been deactivated. The record was deactivated on October 23, 2024. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1245278555
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2006 (18.391780821918 yrs)
Last Updated
Nov 5, 2024
Deactivated
Oct 23, 2024
Licenses
50.001285 (OH)
50001285 (OH)
Sole Proprietor
Yes

Practice Information

Address
3700 KOLBE RD
LORAIN, OH, 440531611
Browse OH providers · Browse ZIP 44053
Phone
4409603000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LORAIN, OH

Name Credential NPI
TERRENCE M OLITSKY PA-C 1235116906
ELAINE VICTORIA SELOS-HOY PA-C 1326018177
LAWRENCE M KOVALCIK PA-C 1851338487
DANIEL BASINSKI PA 1417997198
MRS. PATRICIA S. FILUS PA-C 1366554529
DR. CHRISTINE ANN PHELPS PA 1447333570
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.