Individual provider Active NPI

Gina Reghetti, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Warren, OH
National Provider Identifier
1912988684
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
34-006816-R Issued in OH
Practice address
The 110 Building, 110 Edward Street, NW
Dr. Gina Reghetti, D.O., PC, Inc.
Warren, OH 44483-1118
Phone
(330) 847-3334
Fax
(330) 847-9301
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 34-006816-R OH
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 34-006816-R OH
Medical Toxicology (Emergency Medicine) Physician 207PT0002X 34-006816-R OH
Addiction Medicine (Family Medicine) Physician 207QA0401X 34-006816-R OH Primary
Adult Medicine Physician 207QA0505X 34-006816-R OH
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34-006816-R OH
Gynecology Physician 207VG0400X 34-006816-R OH
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 34-006816-R OH
Interventional Pain Medicine Physician 208VP0014X 34-006816-R OH
Legal Medicine (M.D./D.O.) Physician 209800000X 34-006816-R OH

Addresses

Primary practice location

The 110 Building, 110 Edward Street, NW
Dr. Gina Reghetti, D.O., PC, Inc.
Warren, OH 44483-1118

Mailing address

The 110 Building, 110 Edward Street, NW
Dr. Gina Reghetti, D.O., PC, Inc.
Warren, OH 44483-1118
Phone (330) 847-3334

Other identifiers 47

IdentifierTypeStateIssuer
000012833-00OtherOHOHIO BUREAU OF WORKERS' COMPENSATION CERTIFIED
1998OtherADVANCED LIFE SUPPORT IN OBSTETRICS (ALSO) CERTIFICATION
D.O.OtherMOALUMNI: KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE (KCOM)
H051310OtherOHMEDICARE H051310 TYPE I NATIONAL
1983OtherMISS HARLEY-DAVIDSON U.S.A., 1ST. RUNNER UP
1997OtherAMERICAN MEDICAL ASSOCIATION-MEMBER
1998OtherAMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP)
1998OtherFLIGHT FOR LIFE, STAFF FLIGHT SURGEON-EMERGENCY HELICOPTER RESCUES
2001OtherAWARD: ONE THOUSAND GREAT AMERICANS
2174418MedicaidOH
1985OtherOHRECOGNITION OF APPRECIATION FOR HEALTH SERVICES: AMERICAN RED CROSS NE TORNADO
2000OtherDISABLED AMERICAN VETERANS, COMMANDER'S CLUB, OUTSTANDING DEVOTION & GENEROSITY
1989OtherAWARD: OUTSTANDING COLLEGE STUDENTS OF AMERICA
1997OtherSOCIETY OF TEACHERS OF FAMILY MEDICINE (STFM)
2002OtherAWARD: LIFE MEMEBER, NATIONAL REGISTRY OF WHO'S WHO
2007OtherCONSUMERS' RESEARCH COUNSIL OF AMERICA-AMERICA'S TOP FAMILY PHYSICIANS
ABIOtherAWARD: KEY TO SUCCESS, MEDICAL EXCELLENCE
ABIOtherAWARD: KEY OF SUCCESS, LEADER IN GOVERNMENT AND POLITICS
8873OtherAMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS USA BOARD CERTIFICATIONS
1998OtherPAEXPERT WITNESS: FORENSIC ANALYSIS, STATE OF PENNSYLVANIA DEPARTMENT PROSECUTION
2006OtherDAV DISABLED AMERICAN VETERANS' COMMANDER'S CLUB WALL OF HONOR
29026OtherNATIONAL BOARD OF OSTEOPATHIC MEDICAL EXAMINERS-DIPLOMATE STATUS NATIONALLY
1998OtherFELLOW, AMERICAN SOCIETY FOR COLPOSCOPY & CERVICAL PATHOLOGY (A.S.C.C.P.)
1998OtherDOCTORS OF THE WORLD
1998OtherNEONATAL ADVANCED LIFE SUPPORT CERTIFICATION
1998OtherAMERICAN COLLEGE OF GENERAL SURGEONS CERTIFICATION
8873OtherAMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS (AOBFP) OSTEOPATHIC MANIPULATION
RE4018311OtherOHMEDICARE ASSIGNMENT
064509OtherAOA # 064509 AMERICAN OSTEOPATHIC ASSOCIATION-GOOD STANDING NATIONAL
1998OtherADVANCED TRAUMA LIFE SUPPORT CERTIFICATION
1999OtherAMERICAN COLLEGE OF DISABILITY MEDICINE
2010OtherOHAWARD: BEST OF WARREN MEDICAL DOCTORS
1998OtherAWARD: GOLD STAR AWARD: INTERNATIONAL BIOGRAPHICAL CENTRE, CAMBRIDGE, ENGLAND
1998OtherPEDIATRIC ADVANCED LIFE SUPPORT CERTIFICATION (PALS)
1998OtherADVANCED CARDIAC LIFE SUPPORT (ACLS) CERTIFICATION
1999OtherAMERICAN ACADEMY OF ANTI-AGING MEDICINE (AAAAM)-CERTIFIED MEMBER
1999OtherPROFESSIONAL & COMPASSIONATE MEDICAL HEALTH CARE TO OUR AMERICAN VETERANS-US VA
2001OtherAMERICAN MEDICAL ASSOCIATION PHYSICIAN RECOGNITION AWARD
2002OtherOHVICE PRESIDENT, CLEVELAND SOCIETY OF CLINICAL HYPNOSIS (C.S.C.H.)
ABIOtherAWARD: KEY OF SUCCESS, PROFESSIONAL PERFORMANCE
1998OtherBASIC LIFE SUPPORT CERTIFICATION
1999OtherAWARD: WHO'S WHO OF INTERNATIONAL PROFESSIONAL AND BUSINESS WOMEN HONOREE
2000OtherCERTIFIED PHYSICIAN EXECUTIVE
34-006816-ROtherOHSTATE OF OHIO MEDICAL LICENSE # 34-006816-R
2000OtherOHHONORARY DEPUTY SHERIFF: TRUMBULL COUNTY, OHIO
1986OtherOHDEAN'S LIST FOR OUTSTANDING ACADEMIC ACHIEVEMENT: KSU KENT STATE UNIVERSITY
1999OtherAWARD: WORLD LAUREATE OF U.S.A. FOR PERSONAL ACHIEVEMENTS AND DEDICATION SOCIETY

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-006816-ROHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gina Reghetti DO PC Inc CurrentSince Aug 1, 1998 Accepting new patients

Locations

110 Edward St NW
Warren, OH 44483
Phone (330) 847-3334

110 Edward St NW
#110
Warren, OH 44483
Phone (330) 847-3334

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1912988684",
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        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE 110 BUILDING, 110 EDWARD STREET, NW",
            "address_2": "DR. GINA REGHETTI, D.O., PC, INC.",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831118",
            "telephone_number": "330-847-3334",
            "fax_number": "330-847-9301"
        },
        {
            "country_code": "US",
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            "address_type": "DOM",
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            "postal_code": "444831118",
            "telephone_number": "330-847-3334",
            "fax_number": "330-847-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGHETTI",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OH",
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            "primary": false
        },
        {
            "code": "207PE0004X",
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            "primary": false
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
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            "license": "34-006816-R",
            "primary": false
        },
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            "code": "207QA0401X",
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            "license": "34-006816-R",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "34-006816-R",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "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": "ADVANCED LIFE SUPPORT IN OBSTETRICS (ALSO) CERTIFICATION",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALUMNI: KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE (KCOM)",
            "identifier": "D.O.",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE H051310 TYPE I NATIONAL",
            "identifier": "H051310",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISS HARLEY-DAVIDSON U.S.A., 1ST. RUNNER UP",
            "identifier": "1983",
            "state": null
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MEDICAL ASSOCIATION-MEMBER",
            "identifier": "1997",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP)",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLIGHT FOR LIFE, STAFF FLIGHT SURGEON-EMERGENCY HELICOPTER RESCUES",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWARD: ONE THOUSAND GREAT AMERICANS",
            "identifier": "2001",
            "state": null
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        {
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            "desc": "MEDICAID",
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            "identifier": "2174418",
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RECOGNITION OF APPRECIATION FOR HEALTH SERVICES: AMERICAN RED CROSS NE TORNADO",
            "identifier": "1985",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISABLED AMERICAN VETERANS, COMMANDER'S CLUB, OUTSTANDING DEVOTION & GENEROSITY",
            "identifier": "2000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWARD: OUTSTANDING COLLEGE STUDENTS OF AMERICA",
            "identifier": "1989",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIETY OF TEACHERS OF FAMILY MEDICINE (STFM)",
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            "state": null
        },
        {
            "code": "01",
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            "issuer": "AWARD: LIFE MEMEBER, NATIONAL REGISTRY OF WHO'S WHO",
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        },
        {
            "code": "01",
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            "issuer": "CONSUMERS' RESEARCH COUNSIL OF AMERICA-AMERICA'S TOP FAMILY PHYSICIANS",
            "identifier": "2007",
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        },
        {
            "code": "01",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWARD: KEY OF SUCCESS, LEADER IN GOVERNMENT AND POLITICS",
            "identifier": "ABI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS USA BOARD CERTIFICATIONS",
            "identifier": "8873",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXPERT WITNESS: FORENSIC ANALYSIS, STATE OF PENNSYLVANIA DEPARTMENT PROSECUTION",
            "identifier": "1998",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAV DISABLED AMERICAN VETERANS' COMMANDER'S CLUB WALL OF HONOR",
            "identifier": "2006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF OSTEOPATHIC MEDICAL EXAMINERS-DIPLOMATE STATUS NATIONALLY",
            "identifier": "29026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FELLOW, AMERICAN SOCIETY FOR COLPOSCOPY & CERVICAL PATHOLOGY (A.S.C.C.P.)",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS OF THE WORLD",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEONATAL ADVANCED LIFE SUPPORT CERTIFICATION",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COLLEGE OF GENERAL SURGEONS CERTIFICATION",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS (AOBFP) OSTEOPATHIC MANIPULATION",
            "identifier": "8873",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ASSIGNMENT",
            "identifier": "RE4018311",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOA # 064509 AMERICAN OSTEOPATHIC ASSOCIATION-GOOD STANDING NATIONAL",
            "identifier": "064509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED TRAUMA LIFE SUPPORT CERTIFICATION",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COLLEGE OF DISABILITY MEDICINE",
            "identifier": "1999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWARD: BEST OF WARREN MEDICAL DOCTORS",
            "identifier": "2010",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWARD: GOLD STAR AWARD: INTERNATIONAL BIOGRAPHICAL CENTRE, CAMBRIDGE, ENGLAND",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC ADVANCED LIFE SUPPORT CERTIFICATION (PALS)",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED CARDIAC LIFE SUPPORT (ACLS) CERTIFICATION",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
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            "state": null
        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL & COMPASSIONATE MEDICAL HEALTH CARE TO OUR AMERICAN VETERANS-US VA",
            "identifier": "1999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MEDICAL ASSOCIATION PHYSICIAN RECOGNITION AWARD",
            "identifier": "2001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VICE PRESIDENT, CLEVELAND SOCIETY OF CLINICAL HYPNOSIS (C.S.C.H.)",
            "identifier": "2002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWARD: KEY OF SUCCESS, PROFESSIONAL PERFORMANCE",
            "identifier": "ABI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASIC LIFE SUPPORT CERTIFICATION",
            "identifier": "1998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWARD: WHO'S WHO OF INTERNATIONAL PROFESSIONAL AND BUSINESS WOMEN HONOREE",
            "identifier": "1999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PHYSICIAN EXECUTIVE",
            "identifier": "2000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO MEDICAL LICENSE # 34-006816-R",
            "identifier": "34-006816-R",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HONORARY DEPUTY SHERIFF: TRUMBULL COUNTY, OHIO",
            "identifier": "2000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN'S LIST FOR OUTSTANDING ACADEMIC ACHIEVEMENT: KSU KENT STATE UNIVERSITY",
            "identifier": "1986",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AWARD: WORLD LAUREATE OF U.S.A. FOR PERSONAL ACHIEVEMENTS AND DEDICATION SOCIETY",
            "identifier": "1999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • 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.