Individual provider Active NPI

Christopher David Orr, PA-C

  • Physician Assistant
  • Painesville, OH
National Provider Identifier
1902040306
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003532 Issued in OH
Practice address
1701 Mentor Ave Ste 10
Painesville, OH 44077-1459
Phone
(619) 933-8590
Fax
(440) 579-0187
NPI assigned
Apr 29, 2009
Last updated
Aug 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20215 CA
Physician Assistant 363A00000X 50.003532 OH Primary

Addresses

Primary practice location

1701 Mentor Ave Ste 10
Painesville, OH 44077-1459

Mailing address

8030 Humphrey Hill Dr
Concord Township, OH 44077-8738
Phone (619) 933-8590

Other identifiers 4

IdentifierTypeStateIssuer
2048816199IGOtherOHCARESOURCE
50.003532OtherOHLICENSE
0068337MedicaidOH
9004917OtherOHAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000284 OH Practitioner - Physician Assistant 0547425902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Stanford University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

17406 Royalton Rd
Strongsville, OH 44136-5151
Phone (440) 472-0900

26622 Lorain Rd
North Olmsted, OH 44070-3204
Phone (440) 991-0010

3499 Belmont Ave
Youngstown, OH 44505-1807
Phone (330) 759-0085

36000 Detroit Rd
Suite 200
Avon, OH 44011-1641
Phone (440) 577-8200

421 S High St
Cortland, OH 44410-1437
Phone (330) 485-0670

4990 Mahoning Ave
Austintown, OH 44515-1757
Phone (330) 992-4100

5350 Transportation Blvd
Suite 3
Garfield Heights, OH 44125-5307
Phone (216) 328-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PA20215CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCT Physicians PastSince Sep 20, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.orr.1@19801.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1902040306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 HUMPHREY HILL DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440778738",
            "telephone_number": "619-933-8590",
            "fax_number": "440-579-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MENTOR AVE STE 10",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771459",
            "telephone_number": "619-933-8590",
            "fax_number": "440-579-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20215",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "2048816199IG",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "50.003532",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068337",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9004917",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.