Active NPI
Andrea L Galehouse, P.A.-C
- Physician Assistant
- Medina, OH
National Provider Identifier
1083738710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.002583
- Practice address
- 1075 S Court St
Suite 100
Medina, OH 44256-4354 - Phone
- (330) 722-6337
- Fax
- (330) 722-0481
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.002583 | OH | Primary |
Addresses
Primary practice location
1075 S Court St
Suite 100
Medina, OH 44256-4354
Mailing address
1075 S Court St
Suite 100
Medina, OH 44256-4354
Phone (330) 722-6337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1075 S Court St
Suite 100
Medina, OH 44256-3836
Phone (330) 722-6337
Hospital & facility affiliations
- Medina Hospital
- Wooster Community Hospital
- Summa Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002583 | OH | MD | Physician Assistant |
Interoperability endpoints
- andreagalehousepa@scfp.medentdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Medina, OH
- NPI 1922206291
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wooster, OH
- NPI 1437156247
-
- General Acute Care Hospital
- Medina, OH
- NPI 1083696710
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1083738710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 S COURT ST",
"address_2": "SUITE 100",
"city": "MEDINA",
"state": "OH",
"postal_code": "442564354",
"telephone_number": "330-722-6337",
"fax_number": "330-722-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 S COURT ST",
"address_2": "SUITE 100",
"city": "MEDINA",
"state": "OH",
"postal_code": "442564354",
"telephone_number": "330-722-6337",
"fax_number": "330-722-0481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALEHOUSE",
"first_name": "ANDREA",
"middle_name": "L",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.002583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.