Healthcare Provider Details

I. General information

NPI: 1518628494
Provider Name (Legal Business Name): EVA LOUISE MAHONEY P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EVA MAHONEY PA-C

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36855 AMERICAN WAY
AVON OH
44011-4054
US

IV. Provider business mailing address

2000 AUBURN DR. STE. 350
BEACHWOOD OH
44122-4327
US

V. Phone/Fax

Practice location:
  • Phone: 440-696-7546
  • Fax: 440-268-4406
Mailing address:
  • Phone: 440-646-1600
  • Fax: 440-646-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.008481RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: