Individual provider Active NPI

John V. Gaeuman, MD

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1003938580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-02-2770G Issued in OH
Practice address
505 King Ave
Columbus, OH 43201-2696
Phone
(614) 424-6337
Fax
(614) 424-4401
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-02-2770G OH Primary
Internal Medicine Physician 207R00000X 35-022770 OH

Addresses

Primary practice location

505 King Ave
Columbus, OH 43201-2696

Mailing address

350 Longfellow Ave
Worthington, OH 43085-3023
Phone (614) 424-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-022770OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Battelle Memorial Institute Past Accepting new patients

Organizations & group practices 1

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003938580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LONGFELLOW AVE",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853023",
            "telephone_number": "614-424-6337",
            "fax_number": "614-424-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 KING AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012696",
            "telephone_number": "614-424-6337",
            "fax_number": "614-424-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAEUMAN",
        "first_name": "JOHN",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-02-2770G",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-022770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.