Douglas L Gaker, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35059236 Issued in OH

Practice address

112 S Main St
Middletown, OH 45044-4023

Phone

(513) 423-0739

Fax

(513) 423-2265

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1376545673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444023",
            "telephone_number": "513-423-0739",
            "fax_number": "513-423-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444023",
            "telephone_number": "513-423-0739",
            "fax_number": "513-423-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAKER",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35059236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0795135",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Futrell
• Mary Ellen Gaeke, MD
• Richard Francis Gaeke, MD FACP
• Makayla Gaines
• Mary Elizabeth Gaines, R.N.
• Nickolas J Garcia
• Rachele Garcia, LPN
• Garden Manor Extended Care Center, Inc.
• Garden Manor Terrace, Inc.
• Robert David Garland, DDS

• Urology Physician in Middletown, OH
• Providers in Middletown, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.