Organization Active NPI

Andrew J. Gase, M.D., Inc

  • Family Medicine Physician
  • Tiffin, OH
National Provider Identifier
1245296474
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-053787 Issued in OH
Legal business name
ANDREW J. GASE, M.D., INC
Practice address
27 St. Lawrence Dr
Suite 101
Tiffin, OH 44883-8313
Phone
(419) 447-4214
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Mrs. Anne H Gase
Title
Practice Manager
Phone
(419) 447-4214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35-053787 OH Primary

Addresses

Primary practice location

27 St. Lawrence Dr
Suite 101
Tiffin, OH 44883-8313

Mailing address

27 St. Lawrence Dr
Suite 101
Tiffin, OH 44883-8313
Phone (419) 447-4214

Other identifiers 2

IdentifierTypeStateIssuer
0668684MedicaidOH
0914863MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1245296474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ST. LAWRENCE DR",
            "address_2": "SUITE 101",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838313",
            "telephone_number": "419-447-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ST. LAWRENCE DR",
            "address_2": "SUITE 101",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838313",
            "telephone_number": "419-447-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J. GASE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "GASE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "419-447-4214",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-053787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0668684",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914863",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.