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BEVERLY A WISDOM PA
NPI 1942208939
Physician Assistant - Medical in Cleveland, OH

Active since July 13, 2005
10701 EAST BLVD, SUITE 1B 236, CLEVELAND, OH 44106(419) 215-3171(216) 231-3411 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Beverly A Wisdom Pa NPPES

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

BEVERLY A WISDOM PA (NPI 1942208939) is an individual medical provider in Cleveland, Ohio, licensed in Ohio (50001450) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1942208939
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBEVERLY A WISDOMCredential: PA
Location Address10701 EAST BLVD, SUITE 1B 236Cleveland, OH 44106-1702
Mailing Address10701 Wade Park, Suite 1-b 236Cleveland, OH 44106-1702 · (419) 215-3171 · Fax (216) 231-3411
Phone(419) 215-3171
Fax(216) 231-3411
Sole ProprietorNo
Enumeration DateJuly 13, 2005
Last NPPES UpdateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1942208939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50001450
10701 EAST BLVD, Cleveland, OH 44106
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RACHEL MICHELLE HERNANDEZ R.N.
Registered Nurse
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
MATTHEW BENICK
Recreation Therapist
10701 EAST BLVD, 5M-690E EUL
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
RONALD LEE DENNEY JR. CNP
Nurse Practitioner (Primary Care)
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
ANTHONY ROSSO MBA, RRT
Respiratory Therapist, Registered
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
SARA ELIZABETH LYNCH RN
Registered Nurse (Emergency)
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
ZOE ROBERS
Student in an Organized Health Care Education/Training Program
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
DR. SUSAN KIRSH MD
Internal Medicine
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 701-0519
DEBORAH KELLER-CATANIA NP
Nurse Practitioner (Adult Health)
10701 EAST BLVD, (W)111
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800

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 Beverly Wisdom's NPI number?

The NPI number for Beverly Wisdom is 1942208939. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Beverly Wisdom located?

Beverly Wisdom practices at 10701 East Blvd Suite 1B 236, Cleveland, OH 44106. The listed phone number is (419) 215-3171.

What is Beverly Wisdom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Beverly Wisdom was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.