Organization Active NPI

S a Gabriel DO Inc

  • Surgery Physician
  • Dayton, OH
National Provider Identifier
1063577765
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34003827 Issued in OH
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

Updated by the provider on Aug 19, 2014

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0701593MedicaidOH
1720129OtherOHUHC #
020044283OtherOHMEDICARE RAILROAD
284564686OtherOHTRICARE PROVIDER #
000000005821OtherOHBS & ANTHEM #
284564686001OtherOHMEDICAL MUTUAL PROVIDER #
28456468600OtherOHBWC PROVIDER #

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.