Active NPI
Gerry Victor Hsu, PA-C
- Physician Assistant
- Cincinnati, OH
National Provider Identifier
1215218052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003501
- Practice address
- 3200 Vine St
Cincinnati, OH 45220-2213 - Phone
- (513) 861-3100
- NPI assigned
- Sep 7, 2011
- Sex
- Male
- 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 | 003501 | OH | Primary |
Addresses
Primary practice location
3200 Vine St
Cincinnati, OH 45220-2213
Mailing address
3200 Vine St
Cincinnati, OH 45220-2213
Phone (513) 861-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003501 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368230400000",
"number": "1215218052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202213",
"telephone_number": "513-861-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202213",
"telephone_number": "513-861-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HSU",
"first_name": "GERRY",
"middle_name": "VICTOR",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-07",
"last_updated": "2013-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "003501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.