Individual provider Active NPI

Carey A Gagnon, P.A.-C.

  • Physician Assistant
  • Hermitage, PA
National Provider Identifier
1316983836
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052114 Issued in PA
Practice address
1075 N Hermitage Rd
Hermitage, PA 16148-3114
Phone
(724) 347-1004
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052114 PA Primary
Physician Assistant 363A00000X OA001002 OH

Addresses

Primary practice location

1075 N Hermitage Rd
Hermitage, PA 16148-3114

Mailing address

1075 N Hermitage Rd
Hermitage, PA 16148-3114
Phone (724) 347-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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

Enrollment IDStateProvider typePAC IDDetails
I20041119000812 PA Practitioner - Physician Assistant 2860456720 Reassigns benefits to 4 organizations
I20060406000114 OH Practitioner - Physician Assistant 2860456720 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA001002OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities, Inc. CurrentSince Apr 1, 2008 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 13, 2016 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince May 1, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 13, 2016 Accepting new patients
Valley Medical Facilities Inc CurrentSince Sep 17, 2014 Accepting new patients
Valley Medical Facilities Inc CurrentSince Apr 1, 2008 Accepting new patients
Associates in Nephrology, LTD Past Accepting new patients
Dialysis Access Center, LLC Past Accepting new patients

Locations

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

605 Sharon Rd
Beaver, PA 15009
Phone (724) 728-3302

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

110 N Main St
Greenville, PA 16125
Phone (724) 588-2100

1075 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 308-3640

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Interoperability endpoints

  • Direct secure messaging: carey.gagnon2@upmcdirect.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1316983836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483114",
            "telephone_number": "724-347-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483114",
            "telephone_number": "724-347-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "CAREY",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052114",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "OA001002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.