Christine Gura Niedbala, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

200 Center St
Ludlow, MA 01056-2772

Phone

(413) 589-7176

Fax

(413) 589-7710

NPI assigned

Jun 16, 2010

Last updated

Mar 5, 2014By the provider in NPPES

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

Other names 1

• Christine E. Gura Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Practice roles

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.

• Dr. Gino Mercadante, P.C.

  • Internal Medicine Physician
  • Ludlow, MA
  • NPI 1285828939
  Medicare reassignment
• System Coordinated Services, Inc

  dba Life Laboratories

  • Clinical Medical Laboratory
  • Springfield, MA
  • NPI 1942226006
  NPD (past)

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1215258041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-589-7176",
            "fax_number": "413-589-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-589-7176",
            "fax_number": "413-589-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDBALA",
        "first_name": "CHRISTINE",
        "middle_name": "GURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "GURA",
            "middle_name": "E.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaytlin Ann Nelson, PHD
• New England Sports Orthopedics Spine & Rehabilitation LLC
• New Life Chiropractic Care, L.L.C.
• Lily Nguyen, PA-S
• Judy Nham, NP
• Anne M. Nunnelly, PA
• Maria Teresa Ortega, NP
• Elizabeth Ortiz, PA-C
• Minaly Pagan, FNP-BC
• Pathology Diagnostic Services P.C.

• Physician Assistant in Ludlow, MA
• Providers in Ludlow, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.