Organization
DR GINA REGHETTI DO PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR. GINA REGHETTI D.O. (PHYSICIAN/SURGEON)
(330) 847-3334
Entity
Organization
Contact information
Practice address
THE 110 BUILDING, 110 EDWARD STREET, NW, WARREN, OH 44483-1118
(330) 847-3334
(330) 847-9301
Mailing address
THE 110 BUILDING, 110 EDWARD STREET, NW, WARREN, OH 44483-1118
(330) 847-3334
(330) 847-9301
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
34-006816-R
OH
261QH0100X
Health Service Clinic/Center
34-006816-R
OH
261QM0850X
Adult Mental Health Clinic/Center
34-006816-R
OH
261QM1300X
Multi-Specialty Clinic/Center
Primary
34-006816-R
OH
261QM2500X
Medical Specialty Clinic/Center
34-006816-R
OH
261QP2300X
Primary Care Clinic/Center
34-006816-R
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
34-006816-R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000012833-00
OHIO BUREAU OF WORKERS' COMPENSATION CERTIFIED
OH
01
—
064509
AOA # AMERICAN OSTEOPATHIC ASSOCIATION ID# 064509
OH
05
—
2174418
—
OH
01
—
34-006816-R
STATE OF OHIO MEDICAL LICENSE # 34-006816-R
OH
01
—
36D2026176
CLIA WAIVER CERTIFICATE # 36D2026176 ACUTE OPIOID DETOX CLINIC, U.S.A.
OH
01
—
8873
AMERICAN OSTEOPATHIC BOARD OF FAMILY PHYSICIANS BOARD CERTIFICATION
IL
01
—
H051310
MEDICARE ID AS OF 7-17-2013
OH
01
—
RE 4018311
MEDICARE
OH
Enumeration date
12/19/2011
Last updated
03/07/2023
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