NPIMap

Individual provider Active NPI

Christopher John, PA-C

  • Physician Assistant
  • Warren, PA
National Provider Identifier
1902996903
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052688 Issued in PA
Practice address
103 W Saint Clair St
Suite 1D
Warren, PA 16365-2197
Phone
(814) 726-1921
Fax
(814) 726-7881
NPI assigned
Oct 13, 2006
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 MA052688 PA Primary
Physician Assistant 363A00000X 12086 NY

Addresses

Primary practice location

103 W Saint Clair St
Suite 1D
Warren, PA 16365-2197

Mailing address

220 Hallock St
Jamestown, NY 14701-4630
Phone (716) 499-1466

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cjohn217385@direct.urmc.rochester.edu Direct
Direct Messaging Address cjohn217385@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070103000354 PA Practitioner - Physician Assistant 5395745020 Reassigns benefits to 2 organizations
I20071207000675 NY Practitioner - Physician Assistant 5395745020 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians
Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 664-8640

2666 W State St
Olean, NY 14760-1825
Phone (716) 701-1700

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

515 Main St
Olean, NY 14760-1513
Phone (716) 375-6993

529 Central Ave
Dunkirk, NY 14048-2514
Phone 7163389797610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12086NYMDPhysician Assistant
MA052688PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital CurrentSince Jan 15, 2018 Accepting new patients
Chautauqua Physicians PLLC CurrentSince Jan 1, 2026 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Jun 3, 2023 Accepting new patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 Accepting new patients
Olean General Hospital Physician Assistant Current Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Jun 3, 2023 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
St James Mercy Hospital Past Accepting new patients
Brooks - TLC Hospital System, Inc. Past Accepting new patients
Olean General Hospital Physician Assistant Past Accepting new patients
Grider Medical Services, PLLC Past Accepting new patients
Exigence Hospitalist Medical Services of Erie County, PLLC Past Accepting new patients
Exigence Hospitalist Medical Services of Olean, PLLC Past Accepting new patients
Exigence of Bradford LLC Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

100 High St
#D1
Buffalo, NY 14203
Phone (716) 422-0010

73 Buffalo St
Ste 100
Canandaigua, NY 14424

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

515 Main St
Olean, NY 14760
Phone (716) 373-2600

515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

Interoperability endpoints

  • Direct secure messaging: cjohn217385@direct.urmc.rochester.edu

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1902996903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HALLOCK ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014630",
            "telephone_number": "716-499-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W SAINT CLAIR ST",
            "address_2": "SUITE 1D",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652197",
            "telephone_number": "814-726-1921",
            "fax_number": "814-726-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052688",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "12086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohn217385@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohn217385@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.