Individual provider Active NPI

Christ Gao, PA-C

  • Medical Physician Assistant
  • Riverview, FL
National Provider Identifier
1144855446
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9116097 Issued in FL
Practice address
13015 Summerfield Square Dr
Riverview, FL 33578-7402
Phone
(813) 879-8045
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9116097 FL Primary

Addresses

Primary practice location

13015 Summerfield Square Dr
Riverview, FL 33578-7402

Mailing address

6421 Congress Ave Ste 113
Boca Raton, FL 33487-2858

Other practice location 1

3006 W Azeele St
Tampa, FL 33609-3139
Phone (813) 879-8045

Other practice location 2

5105 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 879-8045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240228004671 FL Practitioner - Physician Assistant 8426493560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

13015 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 879-8045

1303 Mosley Dr
Lynn Haven, FL 32444-5625
Phone (850) 784-7722

3000 Medical Park Dr
Suite 200
Tampa, FL 33613-4695
Phone (813) 879-8045

3006 W Azeele St
Tampa, FL 33609-3139
Phone (813) 879-8045

3411 S Dale Mabry Hwy
Suite a Select Physical Therapy
Tampa, FL 33629-8658
Phone (813) 742-9501

5105 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 879-8045

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1144855446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 CONGRESS AVE STE 113",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13015 SUMMERFIELD SQUARE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787402",
            "telephone_number": "813-879-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 W Azeele St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336093139",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5105 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336031405",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAO",
        "first_name": "CHRIST",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.