Active NPI
Samuel Quincy Gaines, PA-C
- Physician Assistant
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8459 Colerain Ave
Cincinnati, OH 45239-3938 - Phone
- (513) 815-3851
- Fax
- (859) 572-2326
- NPI assigned
- Oct 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
8459 Colerain Ave
Cincinnati, OH 45239-3938
Mailing address
8459 Colerain Ave
Cincinnati, OH 45239-3938
Phone (513) 815-3851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1068 State Route 28
Milford, OH 45150-2095
Phone (513) 831-5900
11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone (513) 421-5558
1301 W 1St St
Springfield, OH 45504-1920
Phone (937) 322-6222
2123 Auburn Ave
Cincinnati, OH 45219-2906
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2323
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Urgent Care Specialists, LLC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Incare Health Solutions, LLC | Physician Assistant | Current | Accepting new patients |
Locations
3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051
123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305
4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582
1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176
102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224
1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115
8459 Colerain Ave
Cincinnati, OH 45239
Phone (434) 944-0053
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1114957123
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
-
- Internal Medicine Physician
- Marion, OH
- NPI 1235422403
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1942546890
-
- Primary Care Nurse Practitioner
- Ontario, OH
- NPI 1639621824
Physician Assistant
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1578039632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8459 COLERAIN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452393938",
"telephone_number": "513-815-3851",
"fax_number": "513-834-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8459 COLERAIN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452393938",
"telephone_number": "513-815-3851",
"fax_number": "859-572-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "SAMUEL",
"middle_name": "QUINCY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-16",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.