Individual provider Active NPI

Debra Gargiulo, MD

  • Family Medicine Physician
  • Uniontown, OH
National Provider Identifier
1407066707
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-120920 Issued in OH
Practice address
1946 Town Park Blvd
#200
Uniontown, OH 44685-7855
Phone
(330) 896-3447
Fax
(330) 896-9919
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-120920 OH Primary

Addresses

Primary practice location

1946 Town Park Blvd
#200
Uniontown, OH 44685-7855

Mailing address

1946 Town Park Blvd
#200
Uniontown, OH 44685-7855
Phone (330) 896-3447

Other identifiers 4

IdentifierTypeStateIssuer
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
0084339MedicaidOH
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #

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

State licenses

LicenseStateTypeSpecialty
35-120920OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Internal Medicine of Akron Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dgarguilo315704@direct.ccf.org

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1407066707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 TOWN PARK BLVD",
            "address_2": "#200",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857855",
            "telephone_number": "330-896-3447",
            "fax_number": "330-896-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 TOWN PARK BLVD",
            "address_2": "#200",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857855",
            "telephone_number": "330-896-3447",
            "fax_number": "330-896-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGIULO",
        "first_name": "DEBRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-120920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084339",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.