Individual provider Active NPI

E Gena Mae Taitano, PA

  • Medical Physician Assistant
  • East Greenwich, RI
National Provider Identifier
1356627665
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00331 Issued in RI
Practice address
1351 S County TRL
Suite 301
East Greenwich, RI 02818-5105
Phone
(401) 398-0860
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00331 RI Primary

Addresses

Primary practice location

1351 S County TRL
Suite 301
East Greenwich, RI 02818-5105

Mailing address

1351 S County TRL
Suite 301
East Greenwich, RI 02818-5105
Phone (401) 398-0860

Other names 1

  • Gena Mae Taitano Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20140806000382 RI Practitioner - Physician Assistant 1759357163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Family Medicine IncGroup PAC ID 5991737041, 7 clinicians

Practice addresses (Care Compare)

1351 S County TRL
Suite 301
East Greenwich, RI 02818-5083
Phone (401) 398-0860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA00331RIMDMedical Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1356627665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185105",
            "telephone_number": "401-398-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185105",
            "telephone_number": "401-398-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAITANO",
        "first_name": "E GENA",
        "middle_name": "MAE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENA",
            "last_name": "TAITANO",
            "middle_name": "MAE",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.