PREMISE HEALTH OF OHIO MEDICAL PA
NPI 1700139698
Clinic/Center - Primary Care in Beachwood, OH

Active since October 17, 2012CLIA 36D2054553 · Waiver
1000 EATON BLVD, BEACHWOOD, OH 44122(440) 523-3100(440) 523-3101 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 16, 2022, Jun 23, 2020, Mar 13, 2018 (3 updates tracked since 2018).

About Premise Health Of Ohio Medical Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF OHIO MEDICAL PA (NPI 1700139698), doing business as Eaton Health Center, is a healthcare organization registered as a primary care in Beachwood, Ohio and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1700139698
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF OHIO MEDICAL PA
Location Address1000 EATON BLVDBeachwood, OH 44122-6058
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(440) 523-3101
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateOctober 17, 2012
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1700139698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1000 EATON BLVD, Beachwood, OH 44122

Other Names 1

Doing Business AsEaton Health Center

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premise Health Of Ohio Medical Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premise Health Of Ohio Medical PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1386290609
5 LIMITED PKWY E
Reynoldsburg, OH 43068
(614) 577-2274
✔ PECOS121 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2054553

Premise Health Of Ohio Medical PA · Cleveland, OH
Active · expires Mar 10, 2028
CLIA Number36D2054553
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorJillian Benson
Laboratory Phone(440) 523-3100
Laboratory LocationPremise Health Of Ohio Medical PA1000 Eaton Blvd Eaton Health Center, Cleveland, OH 44122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Ohio Medical PA's NPI number?

The NPI number for Premise Health Of Ohio Medical PA is 1700139698. It was assigned to this organization in the NPPES registry on October 17, 2012. The provider is doing business as Eaton Health Center.

Where is Premise Health Of Ohio Medical PA located?

Premise Health Of Ohio Medical PA is located at 1000 Eaton Blvd, Beachwood, OH 44122. The listed phone number is (440) 523-3100.

What is Premise Health Of Ohio Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Premise Health Of Ohio Medical PA enrolled in Medicare?

Yes. Premise Health Of Ohio Medical PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premise Health Of Ohio Medical PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Premise Health Of Ohio Medical PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premise Health Of Ohio Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2054553) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premise Health Of Ohio Medical PA accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Premise Health Of Ohio Medical PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premise Health Of Ohio Medical PA was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.