Individual provider Active NPI

Cheryl Geng, PA

  • Physician Assistant
  • Groveport, OH
National Provider Identifier
1578504254
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-00-1874 Issued in OH
Practice address
5345 Hendron Rd
Groveport, OH 43125-1055
Phone
(614) 835-0070
Fax
(614) 835-0301
NPI assigned
Jun 10, 2006
Last updated
Jan 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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 50-00-1874 OH Primary

Addresses

Primary practice location

5345 Hendron Rd
Groveport, OH 43125-1055

Mailing address

5345 Hendron Rd
Groveport, OH 43125-1055
Phone (614) 835-0070

Other names 1

  • Cheryl Cooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1578504254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 HENDRON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251055",
            "telephone_number": "614-835-0070",
            "fax_number": "614-835-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 HENDRON RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251055",
            "telephone_number": "614-835-0070",
            "fax_number": "614-835-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENG",
        "first_name": "CHERYL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-00-1874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "COOPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Groveport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.