GRACE MCCRACKEN (NPI# 1659856300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659856300 |
| Entity Type | Individual |
| Full Name | GRACE MCCRACKEN |
| Credential | PA-C |
| Practice Address |
15322 Saint Clair Ave Cleveland OH 44110 |
| Mailing Address |
4175 Darrow Rd Apt 33 Stow OH 44224-2656 |
| Practice Telephone | 2168511500 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.006142RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15322 Saint Clair Ave, Cleveland, OH 44110 | 2168511500 | |
| 8300 Hough Ave, Cleveland, OH 441034247 | 2162317700 |
| Street Address |
15322 SAINT CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346272267 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2006-07-07 |
| 1962863837 | Amy Tomashefski | Nurse Practitioner | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2016-03-18 |
| 1841425667 | Erin Lynn Duchon | Nurse Practitioner | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2009-05-22 |
| 1467600817 | Tamara Cassie Winfield | Family Medicine | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2008-08-28 |
| 1063618411 | Jaya R Shah | Pediatrics | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2007-06-22 |
| 1932235983 | Northeast Ohio Neighborhood Health Services, Inc. | Pharmacy | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2007-02-26 |
| 1225113871 | Emory E. Foote | Dentist | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2006-10-25 |
| 1992899710 | Jameelah D. Strickland | Internal Medicine | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2006-10-03 |
| 1952417891 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2006-08-22 |
| 1467566695 | Brenda Perryman | Internal Medicine | 15322 Saint Clair Ave, Cleveland, OH 44110-3043 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952287 | Tamika Bonner-conway | Licensed Practical Nurse | 15315 Lucknow Ave, Cleveland, OH 44110 | 2017-06-21 |
| 1831554039 | Neecy's Transportation LLC | Non-emergency Medical Transport (VAN) | 14036 St.clair Ave, Cleveland, OH 44110 | 2015-12-15 |
| 1770970758 | Sherri Craig | Home Health Aide | 16201b Lakeshore Blvd Apt123, Cleveland, OH 44110 | 2015-04-17 |
| 1538576897 | Alayjah M Terrell | Home Health Aide | 917 East 150th, Cleveland, OH 44110 | 2014-07-18 |
| 1700204955 | East Academy, Inc. | Local Education Agency (LEA) | 17520 Kipling, Cleveland, OH 44110 | 2014-04-04 |
| 1578990867 | Delaundria Denise Benjamin | Licensed Practical Nurse | 14206 Westropp Ave, Apt. 211, Cleveland, OH 44110 | 2013-10-01 |
| 1114262789 | Epiphany Damaja Baker | Home Health Aide | 892 E. 139th Street, Cleveland, OH 44110 | 2012-12-07 |
| 1174872543 | Sarah Ann Blowers | Nurse Practitioner | 17876 St. Clair Avenue, Cleveland, OH 44110 | 2012-08-31 |
| 1447495312 | Kathy Jean Taylor | Non-emergency Medical Transport (VAN) | 15218 Lakeshore Blvd, Cleveland, OH 44110 | 2008-12-08 |
| 1689832420 | Glenda Alise Johnson | Nursing Home Administrator | 13514 Kelso Ave, Cleveland, OH 44110 | 2008-05-29 |
| Find all providers in zip 44110 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236778 | Pawel Samplawski | Physician Assistant | 4697 W 149th St, Cleveland, OH 44135-3421 | 2019-07-10 |
| 1720647605 | Haley Martin | Physician Assistant | 2701 Jay Ave, Cleveland, OH 44113-3041 | 2019-06-13 |
| 1841857570 | Lindsey Gardiner | Physician Assistant | 1504 E 107th St, Cleveland, OH 44106-1830 | 2019-05-29 |
| 1972169142 | Morgan Adeline Tomsic | Physician Assistant | 2300 Overlook Rd Apt 720, Cleveland, OH 44106-5922 | 2019-05-14 |
| 1598239410 | Bridget Stauffer | Physician Assistant | 9500 Euclid Ave # A-60, Cleveland, OH 44195-1924 | 2019-01-14 |
| 1811462906 | John Michael Bonham | Physician Assistant | 2121 N Ocoee St Ste 101, Cleveland, TN 37311-3953 | 2018-10-04 |
| 1427532977 | Robert J Werner | Physician Assistant | 18101 Lorain Ave # 4, Cleveland, OH 44111-5612 | 2018-09-20 |
| 1285114892 | Guy David Ferguson | Physician Assistant | 400 Stuart Rd Ne Ste 1, Cleveland, TN 37312-4995 | 2018-08-14 |
| 1821592551 | Elizabeth Anne Butler | Physician Assistant | 9500 Euclid Ave Mail Code: S51, Cleveland, OH 44193-0001 | 2018-03-19 |
| 1285148817 | Marci Scovil | Physician Assistant | 9500 Euclid Ave # G60, Cleveland, OH 44195 | 2017-11-17 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.