Kaitlin M Schupp, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.003369 Issued in OH

Practice address

925 N Hamilton Rd
Gahanna, OH 43230-8708

Phone

(614) 473-9519

Fax

(614) 473-9543

NPI assigned

Oct 11, 2011

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 OH

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Dermatology and Cosmetic Surgery CenterGroup PAC ID 2264439181, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Northeast Dermatology and Cosmetic Surgery Center

  • Dermatology Physician
  • Gahanna, OH
  • NPI 1609882836
  Medicare reassignment Care Compare group
• Center for Surgical Dermatology Inc

  • Dermatology Physician
  • Westerville, OH
  • NPI 1972532091
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1255616124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308708",
            "telephone_number": "614-473-9519",
            "fax_number": "614-473-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308708",
            "telephone_number": "614-473-9519",
            "fax_number": "614-473-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPP",
        "first_name": "KAITLIN",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Schmitter
• Minka Latrice Schofield, MD
• Donald M Schreiber, MD
• Allison Schryver, NP
• Kristina Sue Schumacher, M.D.
• Colleen Schwartz
• Adele Sciarroni
• Scioto Anesthesia Services, LLC
• Christina B Scott, LISW
• Erin Baker Scott, CCC-SLP

• Medical Physician Assistant in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.

Verify at the official NPI Registry.