Healthcare Provider Details

I. General information

NPI: 1891659629
Provider Name (Legal Business Name): THOMAS JAMES LOCKHART PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33300 CLEVELAND CLINIC BLVD
AVON OH
44011-1172
US

IV. Provider business mailing address

1455 WAGAR AVE
LAKEWOOD OH
44107-3638
US

V. Phone/Fax

Practice location:
  • Phone: 440-695-5000
  • Fax:
Mailing address:
  • Phone: 440-313-7719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: