Organization Active NPI

Gumercindp R. Jose, M.D., Inc.

  • Surgery Physician
  • Steubenville, OH
National Provider Identifier
1083832299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35035561 Issued in OH
Legal business name
GUMERCINDP R. JOSE, M.D., INC.
Practice address
1524 Sunset Blvd
Suite D
Steubenville, OH 43952-1380
Phone
(740) 282-9789
Fax
(740) 282-7101
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gumercindo R Jose, M.D.
Title
President
Phone
(740) 282-9789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 35035561 OH Primary

Addresses

Primary practice location

1524 Sunset Blvd
Suite D
Steubenville, OH 43952-1380

Mailing address

1524 Sunset Boulevard
Suite D
Steubenville, OH 43952
Phone (740) 282-9789

Other identifiers 1

IdentifierTypeStateIssuer
0223805MedicaidOH

National Provider Directory

National Provider Directory

Locations

1524 Sunset Blvd
Ste D
Steubenville, OH 43952
Phone (740) 282-9789

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083832299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BOULEVARD",
            "address_2": "SUITE D",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "43952",
            "telephone_number": "740-282-9789",
            "fax_number": "740-282-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BLVD",
            "address_2": "SUITE D",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521380",
            "telephone_number": "740-282-9789",
            "fax_number": "740-282-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUMERCINDP R. JOSE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "GUMERCINDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-282-9789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35035561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.