Mark Richard Gazall, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34-005012 Issued in OH

Practice address

6503 E Broad St Ste 200
Columbus, OH 43213-1693

Phone

(614) 810-1300

Fax

(614) 614-1301

NPI assigned

Jun 7, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vascular Institute of Cleveland, LLC

  • Vascular Surgery Physician
  • Garfield Heights, OH
  • NPI 1033743240

  OH

  Medicare reassignment NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Podiatry Associates, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Bel Air, MD
  • NPI 1487879938
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1124068622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 N. FAIRFIELD RD",
            "address_2": "SUITE B.",
            "city": "BREAVER CREEK",
            "state": "OH",
            "postal_code": "454312579",
            "telephone_number": "937-458-0085",
            "fax_number": "937-458-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 E BROAD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131693",
            "telephone_number": "614-810-1300",
            "fax_number": "614-614-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZALL",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34-005012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gayle
• Amanda L Gayler, CDCA
• Shawneka Gayles
• Paula Christine Gayness
• Robin M Gayton
• Hunter Lawrence Gazda, DO
• Emily Gazdag
• Benny Gazer, M.D.
• Amy Elizabeth Gbemi, APRN
• Stewart Gbenpelle

• Surgery Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.