Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory James Staten, PA

Individual provider Physician Assistant · NPI 1194703660

Gregory James Staten, PA is a Physician Assistant in Middletown, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4421 Roosevelt Blvd
Middletown, OH 45044-9023
Phone: (833) 510-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.001631RX (OH)

Record details

NPI number1194703660
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 5, 2006
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023
Mailing address4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600

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