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

Mr. Scott D. Petersen, PA-C

Individual provider Physician Assistant · NPI 1689640948

Mr. Scott D. Petersen, PA-C is a Physician Assistant in Avon, Ohio. Graduated from George Washington University School of Medicine in 1994, 32 years ago. Practices with Cleveland Clinic Avon Hospital, a 21-clinician group and accepts Medicare assignment. Licensed in Illinois, North Carolina and Ohio.

Years since qualifying
32
Trained at
George Washington University School of Medicine
Licensed in
IL, NC, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

33300 Cleveland Clinic Blvd Mail Code AVH4-143
Avon, OH 44011
Phone: (440) 695-5449
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.002138 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 85000637 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 0010-02841 (NC)

Record details

NPI number1689640948
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESNovember 17, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Cleveland Clinic Avon Hospital — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Avon