Individual provider Active NPI

Andrew Carrington Gombash, D.O.

  • Family Medicine Physician
  • Napoleon, OH
National Provider Identifier
1003809088
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34004365G Issued in OH
Practice address
1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone
(194) 592-1071
Fax
(194) 592-1076
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34004365G OH Primary

Addresses

Primary practice location

1600 E Riverview Ave
Napoleon, OH 43545-9805

Mailing address

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-1071

Other identifiers 14

IdentifierTypeStateIssuer
311155352OtherEMERALD HEALTH
311155352OtherEV BENEFITS
311155352OtherCENTRAL BENEFITS
311155352OtherPPO NEXT
311155352OtherOHIO HEALTH CHOICE
000000260293OtherOHANTHEM
311155352OtherOHMEDIGOLD
311155352OtherGREAT WEST
311155352OtherAETNA
0146765MedicaidOH
311155352OtherNATIONWIDE INS.
0109967OtherUNITED HEALTHCARE
311155352001OtherTRICARE
311155352OtherCIGNA

Other names 1

  • Andrew C. Gombash Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.gombash@henrycountyhospital.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000648 OH Practitioner - Family Practice 2365345360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Hospital Inc CurrentSince Jun 10, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
City of Portsmouth Past Accepting new patients
Hopewell Health Centers Inc Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
H.B. Magruder Memorial Hospital Past Accepting new patients

Locations

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

1600 E Riverview Ave
Ste 108
Napoleon, OH 43545

1600 E Riverview Ave
Ste 107
Napoleon, OH 43545
Phone (419) 592-0800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1003809088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "419-592-1071",
            "fax_number": "419-592-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "194-592-1071",
            "fax_number": "194-592-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBASH",
        "first_name": "ANDREW",
        "middle_name": "CARRINGTON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004365G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERALD HEALTH",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EV BENEFITS",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL BENEFITS",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO NEXT",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO HEALTH CHOICE",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000260293",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIGOLD",
            "identifier": "311155352",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146765",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE INS.",
            "identifier": "311155352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0109967",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "311155352001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "311155352",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.gombash@henrycountyhospital.medicity.net",
            "affiliation": "N",
            "address_1": "1600 E Riverview Ave",
            "city": "Napoleon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435459805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "GOMBASH",
            "middle_name": "C.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Napoleon, OH

Sources for this page

Verify at the official NPI Registry.