Provider Demographics
NPI:1952760977
Name:GYPE, MICHAEL (PA-C)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:GYPE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PLEASANT ALY
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-3000
Mailing Address - Country:US
Mailing Address - Phone:216-559-0609
Mailing Address - Fax:
Practice Address - Street 1:15 PLEASANT ALY
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-3000
Practice Address - Country:US
Practice Address - Phone:216-559-0609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.009636207Q00000X
FLPA9117554207Q00000X
NY031184207Q00000X
PAMA064513207Q00000X
UT14105581-1206207Q00000X
MAPA100966207Q00000X
NVPA3088207Q00000X
CAPA64459207Q00000X
COPA.0008758207Q00000X
GA12665207Q00000X
CT6845207Q00000X
TXPA18526207Q00000X
NJ25MP00898400207Q00000X
363A00000X
OH50-004574207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant