Gary S Midla, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02000703A Issued in IN

Practice address

1001 Hadley Rd
Suite 101
Mooresville, IN 46158-1794

Phone

(317) 831-9340

Fax

(317) 834-5768

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: gmidla972@direct.franciscanalliance.org

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1124000237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HADLEY RD",
            "address_2": "SUITE 101",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581794",
            "telephone_number": "317-831-9340",
            "fax_number": "317-834-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDLA",
        "first_name": "GARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000703A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100434160A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmidla972@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 Hadley Rd",
            "address_2": "Suite 101",
            "city": "Mooresville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461581794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John B Meding, MD
• R. Barry Melbert, M.D.
• Michelle Mendenhall
• Meridian Gynecological Center
• Meridian Health Services Corp.
• Michael Dwayne Miller, O.D.
• Tabitha Miller
• Miller'S Health Systems, Inc.
• Mommas Best Lactation, LLC
• Brittany Monday, NP

• Family Medicine Physician in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.