Individual provider Active NPI

Gina M Donovan, PA-C

  • Medical Physician Assistant
  • Latrobe, PA
National Provider Identifier
1477514727
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA050988 Issued in PA
Practice address
5840 Route 981
Suite 101
Latrobe, PA 15650-5397
Phone
(724) 532-1118
Fax
(724) 532-1307
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 MA050988 PA Primary

Addresses

Primary practice location

5840 Route 981
Suite 101
Latrobe, PA 15650-5397

Mailing address

5840 Route 981
Suite 101
Latrobe, PA 15650-5397
Phone (724) 532-1118

Other practice location 1

3876 Route 30
Latrobe, PA 15650-5256
Phone (724) 537-5064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040610000700 PA Practitioner - Physician Assistant 7315920360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

3876 Route 30
Latrobe, PA 15650-5256
Phone (724) 537-5064

4145 William Penn Hwy
Upmc Gohealth Urgent Care
Monroeville, PA 15146-2662
Phone (412) 516-9134

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

5126 Route 30
Suite 300
Greensburg, PA 15601-7835
Phone (724) 836-3027

6510 Route 30
Jeannette, PA 15644-3170
Phone (724) 527-3428

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 1, 2012 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 1, 2012 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

3876 State Route 30
Latrobe, PA 15650
Phone (724) 537-5064

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Interoperability endpoints

  • Direct secure messaging: gdonovan20781@gohealthupmc.direct-ci.com

Organizations & group practices 4

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1477514727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 ROUTE 981",
            "address_2": "SUITE 101",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505397",
            "telephone_number": "724-532-1118",
            "fax_number": "724-532-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 ROUTE 981",
            "address_2": "SUITE 101",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505397",
            "telephone_number": "724-532-1118",
            "fax_number": "724-532-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3876 Route 30",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156505256",
            "country_code": "US",
            "telephone_number": "724-537-5064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.