Provider Demographics
NPI:1174040786
Name:NORTON, JOHN PATRICK (PA-C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PATRICK
Last Name:NORTON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 SANDGATE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2320
Mailing Address - Country:US
Mailing Address - Phone:216-538-3211
Mailing Address - Fax:
Practice Address - Street 1:11900 SANDGATE DR
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2320
Practice Address - Country:US
Practice Address - Phone:216-538-3211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.005069RX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical