MR. ALBERT A ETHEART (PA C) – Physician Assistant, NPI 1366423600

MR. ALBERT A ETHEART (PA C) is a healthcare provider. based in Shaker heights, Ohio. specializing in Physician Assistant. They hold the professional credentials PA C. They hold a License No. 50001006 (OH). The NPI Number for MR. ALBERT A ETHEART (PA C) is 1366423600

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALBERT A ETHEART (PA C)
NPI
1366423600
Phone
(614) 505-7633
Address
20300 CHARGRIN BLVD
Enumeration Date
11 November 2005
Last Update Date
3 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2162859667
Graduation Year
2006 (20 years ago)
PAC ID
4880626696
Group Practice PAC ID
1850311010
Professional Enrollment ID
I20050901000054
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MR. ALBERT A ETHEART (PA C)

  • 20300 CHARGRIN BLVD

    SHAKER HEIGHTS, OH 441224412

    Phone: (614) 505-7633

    Type: Location

  • 1000 E Washington

    Medina General Hospital Emergency Dept

    Medina, OH 44256

    Phone: (330) 654-1185

    Fax: (330) 654-9086

    Type: Location

  • PO BOX 30790

    MEDINA EMERGENCY ASSOCIATES LTD

    MIDDLEBURG HEIGHTS, OH 441300790

    Phone: (330) 654-1185

    Fax: (330) 654-9086

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44122)

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Provider's Procedures

MR. ALBERT A ETHEART (PA C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOH27447Repair of knee joint107106

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850311010View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MR. ALBERT A ETHEART (PA C) for billing?
Administrative and clinical systems typically use NPI 1366423600 for MR. ALBERT A ETHEART (PA C).
Is MR. ALBERT A ETHEART (PA C)'s NPI status active today?
Active status means MR. ALBERT A ETHEART (PA C)'s NPI record is not deactivated in the public file.
How should patients interpret MR. ALBERT A ETHEART (PA C)'s specialty?
The extract shows Physician Assistant for MR. ALBERT A ETHEART (PA C). Clinical services aligned with this taxonomy classification.
Is MR. ALBERT A ETHEART (PA C) tied to Shaker Heights, Ohio?
If you are local to Shaker Heights, Ohio, MR. ALBERT A ETHEART (PA C) may be relevant to your search.
Who maintains MR. ALBERT A ETHEART (PA C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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