Active NPI
Gina M Soule, PA-C
- Surgical Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 006757
- Practice address
- 32 Seymour St
Hartford, CT 06106-3321 - Phone
- (860) 972-2245
- NPI assigned
- Jun 2, 2017
- Last updated
- Sep 24, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA2252 | ME | |
| Surgical Physician Assistant | 363AS0400X | 006757 | CT | Primary |
Addresses
Primary practice location
32 Seymour St
Hartford, CT 06106-3321
Mailing address
32 Seymour St
Hartford, CT 06106-3321
Phone (860) 972-2245
Other practice location 1
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-2245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
32 Seymour St
Hartford, CT 06106
Phone (860) 590-2414
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401
16 Okatie Center Blvd S
Ste 201
Okatie, SC 29909
Phone (843) 476-4702
Organizations & group practices 7
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1780077982
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Orthopaedic Surgery Physician
- Claxton, GA
- NPI 1033676515
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1720516834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063321",
"telephone_number": "860-972-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063321",
"telephone_number": "860-972-2245"
}
],
"practiceLocations": [
{
"address_1": "80 Seymour St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061028000",
"country_code": "US",
"telephone_number": "860-972-2245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOULE",
"first_name": "GINA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "ME",
"license": "PA2252",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "006757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.