Individual provider Active NPI

Melissa Ann Gargasz, D.O.

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1154599413
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.009189 Issued in OH
Practice address
1010 Woodman Dr
Dayton, OH 45432-1400
Phone
(937) 424-2215
Fax
(937) 252-1224
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.009189 OH Primary

Addresses

Primary practice location

1010 Woodman Dr
Dayton, OH 45432-1400

Mailing address

1010 Woodman Dr
Dayton, OH 45432-1400
Phone (937) 424-2215

Other names 1

  • Melissa Ann Strain Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100617000254 OH Practitioner - Family Practice 8921138942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Melissa Gargasz Urgent Care LLCGroup PAC ID 7315253325, 5 clinicians

Practice addresses (Care Compare)

4353 E State Route 73
Suite 150
Waynesville, OH 45068-8829
Phone (513) 855-4336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.009189OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Melissa Gargasz Urgent Care LLC CurrentSince Sep 1, 2015 Accepting new patients

Locations

4353 E State Route 73
Ste 150
Waynesville, OH 45068
Phone (513) 855-4336

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1154599413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-424-2215",
            "fax_number": "937-252-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-424-2215",
            "fax_number": "937-252-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGASZ",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.009189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "STRAIN",
            "middle_name": "ANN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.