Active NPI
Jennifer Gantt, PA
- Physician Assistant
- West Chester, OH
National Provider Identifier
1609028620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 55000068RX
- Practice address
- 7589 Tylers Place Blvd
West Chester, OH 45069-6308 - Phone
- (513) 755-4700
- Fax
- (513) 755-4717
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- 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 | 55000068RX | OH | Primary |
Addresses
Primary practice location
7589 Tylers Place Blvd
West Chester, OH 45069-6308
Mailing address
7589 Tylers Place Blvd
West Chester, OH 45069-6308
Phone (513) 755-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50002036 | Other | OH | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55000068RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr's Farber, Hans & Staley, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- West Chester, OH
- NPI 1144353301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1609028620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7589 TYLERS PLACE BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450696308",
"telephone_number": "513-755-4700",
"fax_number": "513-755-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7589 TYLERS PLACE BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450696308",
"telephone_number": "513-755-4700",
"fax_number": "513-755-4717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTT",
"first_name": "JENNIFER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "55000068RX",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA",
"identifier": "50002036",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.