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

Individual provider Medical Physician Assistant · NPI 1588134456

Clay Ellenwood, PA-C is a Medical Physician Assistant in Mentor, Ohio. Works from 2 locations. Licensed in Michigan and Ohio.

Licensed in
MI, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7232 Justin Way
Mentor, OH 44060-4881
Phone: (440) 578-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Akron General Ave, Akron, OH 44307-2432 — (330) 344-6000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.006802RX (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601008913 (MI)

Record details

NPI number1588134456
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2018
Last updated in NPPESAugust 19, 2022
Certification dateJune 27, 2022

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