Healthcare Provider Details

I. General information

NPI: 1235109273
Provider Name (Legal Business Name): ALYSON L BEECHER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSON L JAHNKE PA-C

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

6000 W CREEK RD SUITE 10
INDEPENDENCE OH
44131-2139
US

V. Phone/Fax

Practice location:
  • Phone: 800-223-7323
  • Fax:
Mailing address:
  • Phone: 216-986-1314
  • Fax: 216-986-1191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10017
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2454
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: