Dr Gina Reghetti DO PC Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

34-006816-R Issued in OH

Legal business name

DR GINA REGHETTI DO PC INC

Practice address

The 110 Building
110 Edward Street, NW
Warren, OH 44483-1118

Phone

(330) 847-3334

Fax

(330) 847-9301

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dr. Gina Reghetti, D.O.

Title

Physician/Surgeon

Phone

(330) 847-3334

Specialties & licenses 7

Addresses

Other identifiers 8

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Reghetti, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Warren, OH
  • NPI 1912988684
  NPD

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1841569902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE 110 BUILDING",
            "address_2": "110 EDWARD STREET, NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831118",
            "telephone_number": "330-847-3334",
            "fax_number": "330-847-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE 110 BUILDING",
            "address_2": "110 EDWARD STREET, NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831118",
            "telephone_number": "330-847-3334",
            "fax_number": "330-847-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GINA REGHETTI DO PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "REGHETTI",
        "authorized_official_first_name": "DR. GINA",
        "authorized_official_title_or_position": "PHYSICIAN/SURGEON",
        "authorized_official_telephone_number": "330-847-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OH",
            "license": "34-006816-R",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BUREAU OF WORKERS' COMPENSATION CERTIFIED",
            "identifier": "000012833-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO MEDICAL LICENSE # 34-006816-R",
            "identifier": "34-006816-R",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2174418",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER CERTIFICATE # 36D2026176 ACUTE OPIOID DETOX CLINIC, U.S.A.",
            "identifier": "36D2026176",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS BOARD CERTIFICATION",
            "identifier": "8873",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "RE 4018311",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOA # AMERICAN OSTEOPATHIC ASSOCIATION ID# 064509",
            "identifier": "064509",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID AS OF 7-17-2013",
            "identifier": "H051310",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Warren, OH
• Providers in Warren, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.