Individual provider Active NPI

Douglas C Gula, D.O.

  • Orthopaedic Surgery Physician
  • Hamilton, OH
National Provider Identifier
1326091687
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34003360G Issued in OH
Practice address
840 NW Washington Blvd
Ste. a
Hamilton, OH 45013-6384
Phone
(513) 867-4165
Fax
(513) 867-4168
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 34003360G OH Primary
Orthopaedic Surgery Physician 207X00000X 02001911A IN

Addresses

Primary practice location

840 NW Washington Blvd
Ste. a
Hamilton, OH 45013-6384

Mailing address

840 NW Washington Blvd
Ste. a
Hamilton, OH 45013-6384
Phone (513) 867-4165

Other identifiers 10

IdentifierTypeStateIssuer
2725224985-00OtherOHWORKERS COMPENSATION
000000034778OtherOHANTHEM PIN
200067940AMedicaidIN
200028985OtherOHRR MEDICARE
316675200OtherOHUS DEPT OF LABOR PIN
6493507500MedicaidKY
0646653OtherOHAETNA PIN
0900788OtherOHUNITED HEALTHCARE PIN
1514328OtherOKUNITED MINE WORKERS PIN
0539911MedicaidOH

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
02001911AINMDOrthopaedic Surgery Physician
34003360GOHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas C Gula DO PA, Midwest Orthopedics and Sports Medicine Orthopaedic Surgery PastSince Aug 2, 1996 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1326091687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD",
            "address_2": "STE. A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136384",
            "telephone_number": "513-867-4165",
            "fax_number": "513-867-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD",
            "address_2": "STE. A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136384",
            "telephone_number": "513-867-4165",
            "fax_number": "513-867-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULA",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34003360G",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02001911A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "2725224985-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000034778",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200067940A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200028985",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR PIN",
            "identifier": "316675200",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6493507500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "0646653",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PIN",
            "identifier": "0900788",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS PIN",
            "identifier": "1514328",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0539911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.