Provider Demographics
NPI:1841277951
Name:EXNER, DONNA (PA C)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:EXNER
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:29099 HEALTH CAMPUS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5255
Mailing Address - Country:US
Mailing Address - Phone:440-925-7000
Mailing Address - Fax:440-925-7001
Practice Address - Street 1:29099 HEALTH CAMPUS DRIVE
Practice Address - Street 2:150
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-925-7000
Practice Address - Fax:440-925-7001
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2017-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ4906363AM0700X
OH1035263363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPA25841Medicare PIN
OHQ55436Medicare UPIN