Active NPI
Christopher John, PA-C
- Physician Assistant
- Warren, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA052688
- 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
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCUpmc Chautauqua at WcaOlean General HospitalBrooks-TLC Hospital System, Inc.
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
- Brooks-TLC Hospital System, Inc
- Olean General Hospital
- Kaleida Health
- Upmc Chautauqua at Wca
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12086 | NY | MD | Physical Therapist |
| MA052688 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| Olean General Hospital | Physician Assistant | Current | Accepting new patients |
| Jamestown Area Medical Associates, L.L.P. | Current | Accepting new patients | |
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| Chautauqua Physicians PLLC | Current | Accepting new patients | |
| Olean General Hospital | Current | Accepting new patients | |
| Exigence of Bradford LLC | Past | Accepting new patients | |
| Grider Medical Services, PLLC | Past | Accepting new patients | |
| St James Mercy Hospital | Past | Accepting new patients | |
| Exigence Hospitalist Medical Services of Olean, PLLC | Past | Accepting new patients | |
| Brooks - TLC Hospital System, Inc. | Past | Accepting new patients | |
| Exigence Hospitalist Medical Services of Erie County, PLLC | Past | Accepting new patients |
Locations
100 High St
#D1
Buffalo, NY 14203
Phone (716) 422-0010
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
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
#13282
Olean, NY 14760
Phone (716) 375-6993
515 Main St
Olean, NY 14760
Phone (716) 373-2600
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
- cjohn217385@direct.urmc.rochester.edu
Organizations & group practices 40
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.
-
- General Practice Physician
- Bradford, PA
- NPI 1649296781
NY, Physician Assistant
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
NY
-
- General Practice Physician
- Olean, NY
- NPI 1033499017
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
NY
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Derby, NY
- NPI 1225654494
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.