NPIMap

Individual provider Active NPI

Connor Gerhard

  • Physician Assistant
  • Greensburg, PA
National Provider Identifier
1568940302
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
522 W Newton St
Greensburg, PA 15601-2820
Phone
(724) 539-6311
NPI assigned
Aug 3, 2018
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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 NU Primary

Addresses

Primary practice location

522 W Newton St
Greensburg, PA 15601-2820

Mailing address

522 W Newton St
Greensburg, PA 15601-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024001094 PA Practitioner - Physician Assistant 2860745635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Mellon Way
Latrobe, PA 15650-1197

100 Excela Health Dr
Latrobe, PA 15650-1197

100 Excela Health Dr
Latrobe, PA 15650-9001

348 Donohoe Rd
Greensburg, PA 15601-6988
Phone (724) 552-0068

532 W Pittsburgh St
Greensburg, PA 15601-2239

680 Pellis Rd
Greensburg, PA 15601-4453
Phone (724) 689-1970

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

522 W Newton St
Greensburg, PA 15601
Phone (724) 832-0827

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

100 Excela Health Dr
Ste 204
Latrobe, PA 15650
Phone (724) 532-1118

Interoperability endpoints

  • Direct secure messaging: connorgerhard@emg.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1568940302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W NEWTON ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W NEWTON ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012820",
            "telephone_number": "724-539-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHARD",
        "first_name": "CONNOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.