Individual provider Active NPI

Christopher Frank Jonda, PA

  • Physician Assistant
  • Warren, OH
National Provider Identifier
1538405493
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003641 Issued in OH
Practice address
1950 Niles Cortland Rd NE Ste 4
Warren, OH 44484-1077
Phone
(330) 856-2545
Fax
(330) 856-2542
NPI assigned
Dec 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003641 OH Primary

Addresses

Primary practice location

1950 Niles Cortland Rd NE Ste 4
Warren, OH 44484-1077

Mailing address

1950 Niles Cortland Rd NE Ste 4
Warren, OH 44484-1077
Phone (330) 856-2545

Other identifiers 1

IdentifierTypeStateIssuer
0078315MedicaidOH

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
I20130123000438 OH Practitioner - Physician Assistant 4688827728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006

1950 Niles Cortland Rd NE
Warren, OH 44484-1077

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown, LLC Physician Assistant CurrentSince Dec 9, 2012 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Physician Assistant Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1950 Niles Cortland Rd NE
Ste 4
Warren, OH 44484
Phone (330) 856-2545

1950 Niles Cortland Rd NE
Ste 9
Warren, OH 44484
Phone (234) 600-5752

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

Interoperability endpoints

  • Direct secure messaging: cjonda65763@direct.bsmhealth.org

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.

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": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1538405493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NILES CORTLAND RD NE STE 4",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841077",
            "telephone_number": "330-856-2545",
            "fax_number": "330-856-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 NILES CORTLAND RD NE STE 4",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841077",
            "telephone_number": "330-856-2545",
            "fax_number": "330-856-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONDA",
        "first_name": "CHRISTOPHER",
        "middle_name": "FRANK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-21",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.