Active NPI
Amanda Rae Gayetsky, MPAS, PA-C
- Physician Assistant
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.003968
- Practice address
- 3400 Olentangy River Rd
Columbus, OH 43202-1576 - Phone
- (614) 754-5500
- Fax
- (614) 754-5501
- NPI assigned
- Mar 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 50.003968 | OH | Primary |
Addresses
Primary practice location
3400 Olentangy River Rd
Columbus, OH 43202-1576
Mailing address
3400 Olentangy River Rd
Columbus, OH 43202-1576
Phone (614) 754-5500
Other practice location 1
5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 357-1468
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ohio.gastro@directaddress.net | Direct | |
| Direct Messaging Address | agayetsky39660@direct.ohiohealth.com | OhioHealth Physician Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Lincoln Memorial University Medical Department, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S Grant Ave
Columbus, OH 43215-4701
111 S Grant Ave 3Rd FL
Columbus, OH 43215-4701
Phone (614) 566-9184
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000
393 E Town St
Columbus, OH 43215-4799
5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-2058
5154 W Braod St
Suite 150
Columbus, OH 43228-1607
Phone (614) 566-0774
7500 Hospital Dr
Dublin Methodist Hospital
Dublin, OH 43016-8518
Phone (614) 544-8000
85 McNaughten Rd
Suite 320
Columbus, OH 43213-5111
Phone 61475455005545
Hospital & facility affiliations
- Riverside Methodist Hospital
- Mount Carmel East & West
- Grant Medical Center
- Mount Carmel St Ann'S
- Dublin Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.34 of 100
- Quality
- 59.66
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 68.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohio Gastroenterology Group, Inc. | Current | Accepting new patients |
Locations
L3977
Columbus, OH 43260
85 McNaughten Rd
Ste 320
Columbus, OH 43213
Phone 61475455005545
3400 Olentangy River Rd
Columbus, OH 43202
Phone (614) 754-5545
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1124197637
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1760808596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021576",
"telephone_number": "614-754-5500",
"fax_number": "614-457-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021576",
"telephone_number": "614-754-5500",
"fax_number": "614-754-5501"
}
],
"practiceLocations": [
{
"address_1": "5100 W Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432281607",
"country_code": "US",
"telephone_number": "614-357-1468",
"fax_number": "614-533-0203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAYETSKY",
"first_name": "AMANDA",
"middle_name": "RAE",
"credential": "MPAS, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003968",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ohio.gastro@directaddress.net",
"affiliation": "N",
"endpointDescription": "Direct Messaging Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3400 Olentangy River Rd",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432021576",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agayetsky39660@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group, Inc.",
"address_1": "5100 W Broad St",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432281607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.