Theodore R Gover, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.004443RX Issued in OH

Practice address

205 W Bagley Rd
Berea, OH 44017-1886

Phone

(440) 398-8018

NPI assigned

Sep 15, 2015

Sex

Male

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 WV, OH2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

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.

• Urgent Care Specialists, LLC

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1114957123
  Medicare reassignment Care Compare group NPD
• Hometown Urgent Care of Michigan, P.C.

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385
  Medicare reassignment NPD
• Cherokee Emergency Services, Inc.

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1982643938
  Medicare reassignment
• Ohio Valley Physicians Inc

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1962433177

  OH

  Medicare reassignment
• West Virginia University Hospitals Inc

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1598847634
  Medicare reassignment
• Hometown Urgent Care of Michigan, PC

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1881358489
  NPD
• Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Eastern, KY
  • NPI 1164129599
  NPD
• West Virginia University Hospitals, Inc.

  • Emergency Medicine Physician
  • Uniontown, PA
  • NPI 1225693484
  NPD
• Quick Med Urgent Care LLC

  • Urgent Care Clinic/Center
  • Youngstown, OH
  • NPI 1528528726
  NPD (past)
• West Virginia University Hospitals, Inc

  • Emergency Medicine Physician
  • Morgantown, WV
  • NPI 1740763952
  NPD (past)

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1295104610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171886",
            "telephone_number": "440-398-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVER",
        "first_name": "THEODORE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004443RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Golias
• Curtis Gonzalez, LPN
• Jennifer M Gonzalez, LPN
• Ursula Gordon, PHARMD
• Yvonne M Gossett, RN
• Indica Graham
• Marnee Graham
• Jennifer Marie-Hawker Gramuglia, LPCC
• Alyssa Greaves
• Kiturah Jane Greeney, LSW

• Medical Physician Assistant in Berea, OH
• Providers in Berea, 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 Sep 19, 2025; 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.