Individual provider Active NPI

Danielle P Gregoire, PA-C

  • Medical Physician Assistant
  • Bradford, PA
National Provider Identifier
1639261977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA050971 Issued in PA
Practice address
6 N Center St
Bradford, PA 16701-1903
Phone
(814) 368-7000
Fax
(814) 362-6243
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA050971 PA Primary

Addresses

Primary practice location

6 N Center St
Bradford, PA 16701-1903

Mailing address

6 N Center St
Bradford, PA 16701-1903
Phone (814) 368-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040503000879 PA Practitioner - Physician Assistant 0648267872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradford Regional Medical CenterGroup PAC ID 4789592775, 5 clinicians
Olean General HospitalGroup PAC ID 9133111784, shared by 11 NPIs, 78 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

116 Interstate Pkwy
Bradford, PA 16701-1036

190 Main St
Eldred, PA 16731-4620
Phone (814) 225-3750

195 Pleasant St
Unit 5
Bradford, PA 16701-1081
Phone (814) 368-7000

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Past Accepting new patients
Singh & Nadella Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daniellegregoire@healthsystemphysicianpc.medentdirect.com

Organizations & group practices 3

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 4

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639261977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N CENTER ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011903",
            "telephone_number": "814-368-7000",
            "fax_number": "814-362-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N CENTER ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011903",
            "telephone_number": "814-368-7000",
            "fax_number": "814-362-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOIRE",
        "first_name": "DANIELLE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.