IndividualActive
Christopher Gantt, PA-C
NPI 1578000220 · Physician Assistant · Etna, OH
Provider details
- NPI number
- 1578000220
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 50.004763RX (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10452 Hazelton Etna Rd Sw
Etna, OH 43062-3400
Phone: (866) 639-3659
Fax: (414) 622-3903
Street-level locationGet directions
Mailing address
10452 Hazelton Etna Rd Sw
Etna, OH 43062-3400
Additional practice locations (2)
- 2600 Navarre AveOregon, OH 43616-3207Phone: (419) 696-7200
- 723 Phillips Ave Ste aToledo, OH 43612-1351Phone: (419) 476-2124Fax: (419) 476-3882
Registry dates
- Enumerated
- 2017-01-19
- Last updated
- 2025-07-07
- Certified
- 2025-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.