Active NPI
S a Gabriel DO Inc
- Surgery Physician
- Dayton, OH
National Provider Identifier
1063577765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34003827
- Legal business name
- S A GABRIEL DO INC
- Practice address
- 8701 Old Troy Pike
Dayton, OH 45424-1066 - Phone
- (937) 278-8244
- Fax
- (937) 274-8982
- NPI assigned
- Dec 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew H Gabriel, D.O.
- Title
- President of Corporation
- Phone
- (937) 278-8244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34003827 | OH | Primary |
Addresses
Primary practice location
8701 Old Troy Pike
Dayton, OH 45424-1066
Mailing address
1501 N Main St
Dayton, OH 45405-4139
Phone (937) 278-8244
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701593 | Medicaid | OH | |
| 1720129 | Other | OH | UHC # |
| 020044283 | Other | OH | MEDICARE RAILROAD |
| 284564686 | Other | OH | TRICARE PROVIDER # |
| 000000005821 | Other | OH | BS & ANTHEM # |
| 284564686001 | Other | OH | MEDICAL MUTUAL PROVIDER # |
| 28456468600 | Other | OH | BWC PROVIDER # |
National Provider Directory
National Provider DirectoryLocations
500 S Breiel Blvd
Middletown, OH 45044
Phone (513) 424-1619
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Dayton, OH
- NPI 1225643232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408406400000",
"number": "1063577765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454054139",
"telephone_number": "937-278-8244",
"fax_number": "937-274-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 OLD TROY PIKE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454241066",
"telephone_number": "937-278-8244",
"fax_number": "937-274-8982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S A GABRIEL DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-25",
"last_updated": "2014-08-19",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
"authorized_official_telephone_number": "937-278-8244",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "OH",
"license": "34003827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0701593",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC #",
"identifier": "1720129",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "020044283",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER #",
"identifier": "284564686",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS & ANTHEM #",
"identifier": "000000005821",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL PROVIDER #",
"identifier": "284564686001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC PROVIDER #",
"identifier": "28456468600",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.