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

MR. ALBERT A ETHEART, PA C

Active

Physician Assistant · SHAKER HEIGHTS, OH

Registration Details

NPI Number
1366423600
Provider Type
Individual
Gender
Male
NPI Issued
Nov 11, 2005 (20.455184831487 yrs)
Last Updated
May 3, 2019
License
50001006 (OH)

Practice Information

Address
20300 CHARGRIN BLVD
SHAKER HEIGHTS, OH, 441224412
Browse OH providers · Browse ZIP 44122
Phone
6145057633
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SHAKER HEIGHTS, OH

Name Credential NPI
THIRUMALAI SUNDARA-RAJAN PA 1356411102
MARGARET ROBENALT PA-C 1144726852
HABTOM YEBIO ASGHEDE 1447891791
ASHLEY KRYSTYNA BJELICIC PA 1003487489
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.