Provider Demographics
NPI:1730228495
Name:SPRAGGINS, ELLEN M (PAC, MPAS)
Entity type:Individual
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First Name:ELLEN
Middle Name:M
Last Name:SPRAGGINS
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Gender:F
Credentials:PAC, MPAS
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Other - First Name:
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Mailing Address - Street 1:6300 WILSON MILLS RD
Mailing Address - Street 2:W31
Mailing Address - City:MAYFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44143
Mailing Address - Country:US
Mailing Address - Phone:440-446-7677
Mailing Address - Fax:440-446-7878
Practice Address - Street 1:300 NORTH COMMONS BLVD.
Practice Address - Street 2:F11
Practice Address - City:MAYFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44143
Practice Address - Country:US
Practice Address - Phone:440-446-7677
Practice Address - Fax:440-395-0163
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2010-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH50000480363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant