Individual provider Active NPI

Samantha Gerbus, PA

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1477067080
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006402RX Issued in OH
Practice address
4750 E Galbraith Rd Ste 215
Cincinnati, OH 45236-6706
Phone
(134) 213-4945
Fax
(513) 345-2606
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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 10002371A IN
Physician Assistant 363A00000X 50.006402RX OH Primary

Addresses

Primary practice location

4750 E Galbraith Rd Ste 215
Cincinnati, OH 45236-6706

Mailing address

4750 E Galbraith Rd Ste 215
Cincinnati, OH 45236-6706
Phone (513) 421-3495

Other names 1

  • Samantha Parrish Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200929002491 OH Practitioner - Physician Assistant 8224395223 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Physician Assistant CurrentSince Sep 1, 2021 Accepting new patients
Children'S Hospital Medical Center Physician Assistant CurrentSince May 9, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

4750 E Galbraith Rd
Ste 215
Cincinnati, OH 45236
Phone (513) 891-5610

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Organizations & group practices 3

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1477067080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD STE 215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366706",
            "telephone_number": "513-421-3495",
            "fax_number": "513-345-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 E GALBRAITH RD STE 215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366706",
            "telephone_number": "134-213-4945",
            "fax_number": "513-345-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBUS",
        "first_name": "SAMANTHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002371A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006402RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "PARRISH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.