Individual provider Active NPI

Robert M. Gsellman, M.D.

  • Family Medicine Physician
  • Uniontown, OH
National Provider Identifier
1215928957
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35041177G Issued in OH
Practice address
4444 Arlington Rd
Uniontown, OH 44685-9508
Phone
(330) 896-6111
Fax
(330) 896-6116
NPI assigned
Nov 2, 2005
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 35041177G OH Primary

Addresses

Primary practice location

4444 Arlington Rd
Uniontown, OH 44685-9508

Mailing address

3515 Massillon Rd
Suite 300
Uniontown, OH 44685-6400
Phone (330) 899-9350

Other identifiers 1

IdentifierTypeStateIssuer
0989579MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35041177GOHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1215928957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD",
            "address_2": "SUITE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856400",
            "telephone_number": "330-899-9350",
            "fax_number": "330-634-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 ARLINGTON RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859508",
            "telephone_number": "330-896-6111",
            "fax_number": "330-896-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GSELLMAN",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35041177G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0989579",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.