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

Blake Heinonen

Individual provider Physician Assistant · NPI 1235672437

Blake Heinonen is a Physician Assistant in Conneaut, 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

Practice location Address checks out

903 Lincoln Dr
Conneaut, OH 44030-2137
Phone: (440) 813-7665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.004922RX (OH)

Record details

NPI number1235672437
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 21, 2016
Last updated in NPPESNovember 21, 2016
Mailing address903 Lincoln Dr, Conneaut, OH 44030-2137

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

Other providers in Conneaut