Individual provider Active NPI

Christopher George Sintic, MPAS PA-C

  • Medical Physician Assistant
  • Cleveland, OH
National Provider Identifier
1942486923
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50001528 Issued in OH
Practice address
3060 Eggers Ave
Cleveland, OH 44105-1012
Phone
(216) 429-6535
Fax
(216) 429-6538
NPI assigned
Jan 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50001528 OH Primary

Addresses

Primary practice location

3060 Eggers Ave
Cleveland, OH 44105-1012

Mailing address

12105 Quail Woods Dr
Chardon, OH 44024-9660
Phone (216) 905-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50001528OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Regional Physicians LLC Past Accepting new patients

Interoperability endpoints

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

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1942486923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 QUAIL WOODS DR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249660",
            "telephone_number": "216-905-1475",
            "fax_number": "216-429-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 EGGERS AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051012",
            "telephone_number": "216-429-6535",
            "fax_number": "216-429-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINTIC",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "MPAS PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50001528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.