Kefyalew Regassa Gobena, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007279RX Issued in OH

Practice address

1493 Parsons Ave
Columbus, OH 43207-1230

Phone

(614) 882-4343

Fax

(614) 882-4664

NPI assigned

Jul 23, 2020

Last updated

Apr 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Healthcare for Women Inc.

  • Obstetrics & Gynecology Physician
  • Columbus, OH
  • NPI 1649206996
  Medicare reassignment
• Complete Healthcare for Women Inc.

  dba Complete Healthcare for Women

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbus, OH
  • NPI 1992357354
  NPD

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1508475807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071230",
            "telephone_number": "614-882-4343",
            "fax_number": "614-882-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071230",
            "telephone_number": "614-882-4343",
            "fax_number": "614-882-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBENA",
        "first_name": "KEFYALEW",
        "middle_name": "REGASSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.007279RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007279RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Uniontown",
            "affiliation": "N",
            "endpointDescription": "Green Primary Care Cleveland Clinic Akron General",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1946 Town Park Blvd",
            "city": "Uniontown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446858372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1493 Parsons Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432071230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1493 Parsons Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432071230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1493 Parsons Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432071230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Goare, RN
• Clarisse Justine Goas, APRN-CNP
• Daniel Goba
• Sakesnan N/a Gobalasuthanthiran, MD
• Alexandra Gobble, MD (06/12/2020)
• Lisa L Gocha, BSN, RN
• Amber Marie Gochis, RN
• God's Word Christian Ministry
• God's Word Christian Ministry
• Madan Godar

• Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.