Christine Elizabeth McGovern, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0004254 Issued in NY

Practice address

1400 Washington Ave
University Health Center
Albany, NY 12222-0100

Phone

(518) 442-5454

Fax

(518) 442-5444

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727
  Medicare reassignment NPD
• St. Peter'S Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834
  Medicare reassignment NPD
• Community Care Physicians, PC

  • Family Medicine Physician
  • Albany, NY
  • NPI 1811946775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1124185590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WASHINGTON AVE",
            "address_2": "UNIVERSITY HEALTH CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122220100",
            "telephone_number": "518-442-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WASHINGTON AVE",
            "address_2": "UNIVERSITY HEALTH CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122220100",
            "telephone_number": "518-442-5454",
            "fax_number": "518-442-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0004254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McGinnis Womens Medical Care, PC
• Amy Beth McGinnis
• Mary Joyce McGinnis, M.D.
• Michael Donald McGoldrick, M.D.
• James J McGork III, PA
• Mary Diane McGovern, R.D.
• Ellen M. McGrann, PA
• Jean C McGrath Brodeur, PHARMD
• Edmund John McGrath, DPM
• Taylor Lynde McGrath, PA

• Medical Physician Assistant in Albany, NY
• Providers in Albany, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.