ELIZABETH A GAITLEY


Address: 3219 Clifton Ave Ste 100, Cincinnati, OH 45220-3035
Phone: 5138621888

ELIZABETH A GAITLEY (NPI# 1013247204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013247204
Entity Type Individual
Full Name ELIZABETH A GAITLEY
Other Name ELIZABETH A BOCKERSTETTE
Credential PA
Practice Address 3219 Clifton Ave Ste 100
Cincinnati
OH 45220-3035
Mailing Address Po Box 633448
Cincinnati
OH 45263-3448
Practice Telephone 5138621888
Practice Fax Number 5138623616
Mailing Telephone 5135696117
Mailing Fax Number 5138534740
Enumeration Date 2010-01-11
Last Update Date 2017-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 50.002977 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3219 CLIFTON AVE STE 100
City CINCINNATI
State OH
Zip Code 45220-3035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033181300 Christine Marie Vaccaro Obstetrics & Gynecology 3219 Clifton Ave Ste 100, Cincinnati, OH 45220-3035 2006-02-02
1649700287 Carly Davis Wolf Nurse Practitioner 3219 Clifton Ave Ste 100, Cincinnati, OH 45220-3035 2017-06-15
1881080737 Emily Renkel Aldrich Student in an Organized Health Care Education/Training Program 3219 Clifton Ave Ste 100, Cincinnati, OH 45220-3035 2015-04-07
1396032843 Robert Neff Obstetrics & Gynecology 3219 Clifton Ave Ste 100, Cincinnati, OH 45220-3035 2011-07-06

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NPI Name Taxonomy Address Enumeration
1003414558 Gerthlan LLC Home Health 3220 Jefferson Avenue, Suite 21, Cincinnati, OH 45220 2020-10-15
1598385510 Michael Aduragbemi Fatuyi Student in an Organized Health Care Education/Training Program 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 2020-04-20
1982262648 Frank Hiroshi Harris Student in an Organized Health Care Education/Training Program 375 Dixmyth Avenue Dept Of, Internal Medicine Residency, Cincinnati, OH 45220 2019-05-29
1184121303 Patina E Nelson Counselor 311 Martin Luther King Dr W, Cincinnati, OH 45220 2018-04-13
1558701540 Mohd Amer Alsamman Internal Medicine 375 Dixmyth Avenue - Good Samaritan Hospital, 3rd Floor, Medical Education, Cincinnati, OH 45220 2013-07-05
1104057868 Dorothy Kimberly Grizzell Occupational Therapy Assistant 440 Lafayette Ave., Cincinnati, OH 45220 2009-07-29
1184865651 Maria C Nicholson Dietitian, Registered 3219 Clifton Avenue, Suite 325, Cincinnati, OH 45220 2009-03-13
1508066507 Amy Elizabeth Banks Physical Therapist Cincinnati Va Medical Center 3200 Vine Street, Cincinnati, OH 45220 2007-07-19
1821213968 Ann Gelke Psychiatry & Neurology 3447 Cornell Pl, Cincinnati, OH 45220 2007-04-16
1538283627 Manish Srivastava Internal Medicine 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220 2007-03-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083213946 Breanne Lyon Physician Assistant 870 S Troy Ave, Cincinnati, OH 45246-4620 2020-10-21
1528671831 Kekeli Diane Ominira Amara Physician Assistant 1535 Elkton Pl, Cincinnati, OH 45224-2517 2020-08-26
1609486281 Taylor Diane Williams Physician Assistant 26 Sugarmaple Ct, Cincinnati, OH 45236-1162 2020-08-07
1023634607 Melissa Marie Louis Physician Assistant 44 W Freedom Way Unit 823, Cincinnati, OH 45202-0008 2020-06-19
1437774726 Christina Marie Kohorst Physician Assistant 2500 Warsaw Ave Apt 43, Cincinnati, OH 45204-1534 2020-06-11
1164050621 Cossette Buchman Physician Assistant 5031 W Eastwood Cir, Cincinnati, OH 45227-1405 2020-03-31
1730729120 Lindsey Deal Heim Physician Assistant 123 Goethe St, Cincinnati, OH 45202-8953 2020-01-14
1316598675 Crystal Ann Fortuna Physician Assistant 621 E Mehring Way Unit 1101, Cincinnati, OH 45202-3529 2019-09-26
1073082400 Elizabeth Lim Physician Assistant 11150 Montgomery Rd, Cincinnati, OH 45249-2300 2018-11-14
1497238844 Christopher Barton Hackett Physician Assistant 276 W Crest Dr, Cincinnati, OH 45215-3703 2018-09-12
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Competitor

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City CINCINNATI
Zip Code 45220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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