Organization Active NPI

S Anthony Gaeta MD Internal Medicine

  • Internal Medicine Physician
  • Dublin, OH
National Provider Identifier
1215182068
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35057432 Issued in OH
Legal business name
S ANTHONY GAETA MD INTERNAL MEDICINE
Practice address
106 S High St
Dublin, OH 43017-1135
Phone
(614) 760-7425
Fax
(740) 206-1180
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Patricia Mirolo, CPC
Title
Practice Manager
Phone
(740) 852-8494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35057432 OH Primary

Addresses

Primary practice location

106 S High St
Dublin, OH 43017-1135

Mailing address

Dept L2854
Columbus, OH 43260-0001
Phone (614) 761-7425

Other identifiers 1

IdentifierTypeStateIssuer
0786510MedicaidOH

National Provider Directory

National Provider Directory

Locations

Dept L2854
Columbus, OH 43260

106 S High St
Dublin, OH 43017
Phone (614) 760-7425

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1215182068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT L2854",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432600001",
            "telephone_number": "614-761-7425",
            "fax_number": "740-206-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S HIGH ST",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171135",
            "telephone_number": "614-760-7425",
            "fax_number": "740-206-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S ANTHONY GAETA MD INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "MIROLO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "740-852-8494",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35057432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0786510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.