IndividualActive
Albert Etheart, PA C
NPI 1366423600 · Physician Assistant · Shaker Heights, OH
Provider details
- NPI number
- 1366423600
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA C
- Sex
- Male
- Sole proprietor
- No
- License
- 50001006 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20300 Chargrin Blvd
Shaker Heights, OH 44122-4412
Phone: (614) 505-7633
Street-level locationGet directions
Mailing address
Po Box 30790
Middleburg Heights, OH 44130-0790
Additional practice locations (1)
- 1000 E WashingtonMedina General Hospital Emergency DeptMedina, OH 44256Phone: (330) 654-1185Fax: (330) 654-9086
Registry dates
- Enumerated
- 2005-11-11
- Last updated
- 2019-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.