Individual provider Active NPI

Christian Erik Gausvik Jr., M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1043751225
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
35.135406 Issued in OH
Practice address
2123 Auburn Ave
Suite 340
Cincinnati, OH 45219
Phone
(513) 585-3238
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57.029297 OH
Family Medicine Physician 207Q00000X 35.135406 OH
Student in an Organized Health Care Education/Training Program 390200000X
Geriatric Medicine (Family Medicine) Physician 207QG0300X 35.135406 OH Primary

Addresses

Primary practice location

2123 Auburn Ave
Suite 340
Cincinnati, OH 45219

Mailing address

3805 Edwards Rd Ste 350
Cincinnati, OH 45209-1940
Phone (513) 871-7848

Other practice location 1

3805 Edwards Rd Ste 350
Cincinnati, OH 45209-1940
Phone (513) 871-7848

Other identifiers 1

IdentifierTypeStateIssuer
0444829MedicaidOH

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
I20210708002490 OH Practitioner - Family PracticePractitioner - Geriatric Medicine 9739581018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

3805 Edwards Rd
Suite 360
Cincinnati, OH 45209-1940
Phone (513) 871-7848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.135406OHMDFamily Medicine Physician
57.029297OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
The Christ Hospital Medical Associates, III CurrentSince Apr 25, 2022 Accepting new patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
University of Cincinnati Physicians Company, LLC Family Medicine PastSince Aug 15, 2015 Accepting new patients

Locations

3805 Edwards Rd
Ste 360
Cincinnati, OH 45209
Phone (513) 321-0833

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

2123 Auburn Ave
Ste 340
Cincinnati, OH 45219
Phone (513) 585-2288

3805 Edwards Rd
Ste 350
Cincinnati, OH 45209
Phone (513) 321-0833

237 William Howard Taft Rd
#23
Cincinnati, OH 45219

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1043751225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 EDWARDS RD STE 350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091940",
            "telephone_number": "513-871-7848",
            "fax_number": "513-871-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 340",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-585-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805 Edwards Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452091940",
            "country_code": "US",
            "telephone_number": "513-871-7848",
            "fax_number": "513-871-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUSVIK",
        "first_name": "CHRISTIAN",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57.029297",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.135406",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35.135406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444829",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.