Individual provider Active NPI

Christina G Gemma, PAC

  • Physician Assistant
  • Canfield, OH
National Provider Identifier
1851388284
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2349 Issued in OH
Practice address
6470 Tippecanoe Rd
Canfield, OH 44406-9008
Phone
(330) 729-2737
Fax
(330) 729-2742
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2349 OH Primary

Addresses

Primary practice location

6470 Tippecanoe Rd
Canfield, OH 44406-9008

Mailing address

6470 Tippecanoe Rd
Canfield, OH 44406-9008
Phone (330) 729-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5033OHMDOptometrist
2349OHMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1851388284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 TIPPECANOE RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069008",
            "telephone_number": "330-729-2737",
            "fax_number": "330-729-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 TIPPECANOE RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069008",
            "telephone_number": "330-729-2737",
            "fax_number": "330-729-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMA",
        "first_name": "CHRISTINA",
        "middle_name": "G",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.