Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allyssa Johnson, PA

Individual provider Physician Assistant · NPI 1205386448

Allyssa Johnson, PA is a Physician Assistant in Beachwood, Ohio. Qualified in 2016, 10 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3909 Orange Pl Ste 2100
Beachwood, OH 44122-8400
Phone: (216) 896-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50-004905 (OH)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1205386448
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021
Mailing address9001 Portage Pointe Dr Apt E107, Streetsboro, OH 44241-5618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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