Gary Gettelfinger MD Dabpm LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01036884 Issued in IN

Legal business name

GARY GETTELFINGER MD DABPM LLC

Practice address

1619 N Prairie Green CT
Bloomington, IN 47408-8701

Phone

(812) 353-2700

NPI assigned

Dec 27, 2016

Organization subpart

No

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

Authorized official

Name

Gary Gettelfinger

Title

President and Ceo

Phone

(219) 476-0352

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1366987513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N PRAIRIE GREEN CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474088701",
            "telephone_number": "812-353-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N PRAIRIE GREEN CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474088701",
            "telephone_number": "812-353-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY GETTELFINGER MD DABPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "GETTELFINGER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "219-476-0352"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01036884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "547540K",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn B Garner, CCC-A
• Rachel Garrett
• Daniel John Garrison, M.D.
• Kristy Garrison, RBT
• Joshua J Garver, D.D.S.
• Thomas Gast
• Nickolaus H Gastil, PSYCH
• Sarah Elizabeth Gearing
• Kayla Dove Geatches, RBT
• Carolyn Geduld, LCSW

• Interventional Pain Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.