Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLAY ELLENWOOD, PA-C
ActiveCLAY ELLENWOOD, PA-C is a Medical Physician Assistant healthcare provider located in MENTOR, Ohio. NPI 1588134456 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MENTOR, OH
Registration Details
- NPI Number
- 1588134456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2018 (7.6668105097416 yrs)
- Last Updated
- Aug 19, 2022
- Licenses
-
5601008913 (MI)50.006802RX (OH)
Practice Information
- Address
-
7232 JUSTIN WAYMENTOR, OH, 440604881Browse OH providers · Browse ZIP 44060
- Phone
- 4405788200
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in MENTOR, OH
| Name | Credential | NPI |
|---|---|---|
| SALLY S BLUM | PA | 1609818665 |
| LISA M NEDLEY | PA-C | 1366505406 |
| JORDAN SMITH | PA-C | 1932507092 |
| VICTORIA CELESTE RADEL | PA-C | 1063130722 |
| KRISTI RENEA MEENAN | — | 1134832207 |
| MR. MICHAEL BLAKE | PA-S | 1720943665 |
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.