Cheryl Lynn Santiago, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001008296 Issued in NC

Practice address

1075 E Hudson Blvd
Gastonia, NC 28054-1694

Phone

(724) 773-0777

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Oneonta, NY
  • NPI 1316485600

  Physician Assistant

  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Ithaca, NY
  • NPI 1629182100
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1770741324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 E HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541694",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541694",
            "telephone_number": "724-773-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053823",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001008296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Honora Manning Sandifer, M.D.
• Razhedatequila Eunicetage Sanford, LCSW LCAS CSI
• Hannah Sanii, LCSW
• Sanni Enterprise LLC
• Ashley K Sanni
• Wagner Gilbert Santiago, DPM
• Josue David Santos, MD
• Rekha Arasaraju Satyaprakash
• Carlitha Sturdivant Saunders, NP
• Laura Saune, LCMHCA

• Physician Assistant in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.