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

Individual provider Medical Physician Assistant · NPI 1942208939

Beverly A Wisdom, PA is a Medical Physician Assistant in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
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

10701 E Blvd Ste 1B 236
Cleveland, OH 44106-1702
Phone: (419) 215-3171
Fax: (216) 231-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50001450 (OH)

Record details

NPI number1942208939
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 13, 2005
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020

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