John W Gebert, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

2431371 Issued in NY

Practice address

5 Lyon Place
Richard E Winter Cancer Treatment Center
Ogdensburg, NY 13669-2586

Phone

(315) 393-3600

Fax

(315) 393-0320

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rural Diagnostic Radiology, Inc

  • Diagnostic Radiology Physician
  • Centerville, IA
  • NPI 1578664637
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1235198425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-393-3600",
            "fax_number": "315-393-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LYON PLACE",
            "address_2": "RICHARD E WINTER CANCER TREATMENT CENTER",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692586",
            "telephone_number": "315-393-3600",
            "fax_number": "315-393-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBERT",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "2431371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02861049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandan Furnace
• Tiffany Fuse, PHD
• Sara Gaibie, DMD
• Nicole Garriques
• Brittany Lee Garwick, RN, NY
• Lisa Kay Gerlach, RN
• Ali M Gharagozloo, MD
• Janine Lynn Giglio, R.N.
• Gaynelle Marie Gilbride, RN
• Christy Rose Joan Marie Gilhool

• Radiation Oncology Physician in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.