Stephanie J Gaines, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50-002897 Issued in OH

Practice address

4623 Wesley Ave
Ste C
Cincinnati, OH 45212-2246

Phone

(513) 841-1122

NPI assigned

Jul 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1538399795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CHERRYDALE CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409434",
            "telephone_number": "513-260-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 WESLEY AVE",
            "address_2": "STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122246",
            "telephone_number": "513-841-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-002897",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla R Gaines
• Monique Gaines
• Mylan Gaines
• Rick Gaines, M.D.
• Samuel Quincy Gaines, PA-C
• Sue Ellen Gaines, RN
• Whitney Gaines
• Thomas Gainey, MD
• Gaiser Management Group LLC (New Body Aesthetics)
• Cory Allen Gaiser, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.