1912988684 NPI number — DR. GINA REGHETTI D.O.

Table of content: DR. GINA REGHETTI D.O. (NPI 1912988684)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912988684 NPI number — DR. GINA REGHETTI D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REGHETTI
Provider First Name:
GINA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912988684
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
THE 110 BUILDING, 110 EDWARD STREET, NW
Provider Second Line Business Mailing Address:
DR. GINA REGHETTI, D.O., PC, INC.
Provider Business Mailing Address City Name:
WARREN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44483-1118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-847-3334
Provider Business Mailing Address Fax Number:
330-847-9301

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
THE 110 BUILDING, 110 EDWARD STREET, NW
Provider Second Line Business Practice Location Address:
DR. GINA REGHETTI, D.O., PC, INC.
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44483-1118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-847-3334
Provider Business Practice Location Address Fax Number:
330-847-9301
Provider Enumeration Date:
11/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 204D00000X , with the licence number:  34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207PE0004X , with the licence number: 34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207PT0002X , with the licence number: 34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207QA0401X , with the licence number: 34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207QA0505X , with the licence number: 34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207QG0300X , with the licence number: 34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207VG0400X , with the licence number: 34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2083P0500X , with the licence number: 34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208VP0014X , with the licence number: 34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 209800000X , with the licence number: 34-006816-R , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000012833-00 . This is a "OHIO BUREAU OF WORKERS' COMPENSATION CERTIFIED" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1998 . This is a "ADVANCED LIFE SUPPORT IN OBSTETRICS (ALSO) CERTIFICATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: D.O. . This is a "ALUMNI: KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE (KCOM)" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: H051310 . This is a "MEDICARE H051310 TYPE I NATIONAL" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1983 . This is a "MISS HARLEY-DAVIDSON U.S.A., 1ST. RUNNER UP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1985 . This is a "RECOGNITION OF APPRECIATION FOR HEALTH SERVICES: AMERICAN RED CROSS NE TORNADO" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 1997 . This is a "AMERICAN MEDICAL ASSOCIATION-MEMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1998 . This is a "AMERICAN ACADEMY OF FAMILY PHYSICIANS (AAFP)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1998 . This is a "FLIGHT FOR LIFE, STAFF FLIGHT SURGEON-EMERGENCY HELICOPTER RESCUES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2000 . This is a "DISABLED AMERICAN VETERANS, COMMANDER'S CLUB, OUTSTANDING DEVOTION & GENEROSITY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2001 . This is a "AWARD: ONE THOUSAND GREAT AMERICANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2174418 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1989 . This is a "AWARD: OUTSTANDING COLLEGE STUDENTS OF AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1997 . This is a "SOCIETY OF TEACHERS OF FAMILY MEDICINE (STFM)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1998 . This is a "EXPERT WITNESS: FORENSIC ANALYSIS, STATE OF PENNSYLVANIA DEPARTMENT PROSECUTION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2002 . This is a "AWARD: LIFE MEMEBER, NATIONAL REGISTRY OF WHO'S WHO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2006 . This is a "DAV DISABLED AMERICAN VETERANS' COMMANDER'S CLUB WALL OF HONOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2007 . This is a "CONSUMERS' RESEARCH COUNSIL OF AMERICA-AMERICA'S TOP FAMILY PHYSICIANS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 29026 . This is a "NATIONAL BOARD OF OSTEOPATHIC MEDICAL EXAMINERS-DIPLOMATE STATUS NATIONALLY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8873 . This is a "AMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS USA BOARD CERTIFICATIONS" identifier . This identifiers is of the category "OTHER".




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