Individual provider Active NPI

Cory Allen Gaiser, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1306279088
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.129570CTR Issued in OH
Practice address
4004 Harrison Ave
Cincinnati, OH 45211-4627
Phone
(513) 635-7622
Fax
(513) 481-0013
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.129570CTR OH Primary

Addresses

Primary practice location

4004 Harrison Ave
Cincinnati, OH 45211-4627

Mailing address

4004 Harrison Ave
Cincinnati, OH 45211-4627
Phone (513) 635-7622

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

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1306279088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452114627",
            "telephone_number": "513-635-7622",
            "fax_number": "513-481-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452114627",
            "telephone_number": "513-635-7622",
            "fax_number": "513-481-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAISER",
        "first_name": "CORY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.129570CTR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

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