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

Individual provider Physician Assistant · NPI 1710181532

Susan Ann Hollobaugh, PA is a Physician Assistant in Mentor, Ohio. Qualified in 1997, 29 years ago. Practices with Lake Hospital System, Inc, a 94-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Licensed in
OH
In the registry since
2007
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

9500 Mentor Ave Ste 100
Mentor, OH 44060-8713
Phone: (440) 352-4880
Fax: (440) 352-3629
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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 1142 (OH)

Record details

NPI number1710181532
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Lake Hospital System, Inc. — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mentor