Active NPI
Paul M Gangl, MD
- Orthopaedic Surgery Physician
- Cincinnati, OH
National Provider Identifier
1477544252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 51252
- Practice address
- 8311 Montgomery Rd
Cincinnati, OH 45236-2227 - Phone
- (513) 246-2300
- Fax
- (513) 246-2391
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 51252 | OH | Primary |
Addresses
Primary practice location
8311 Montgomery Rd
Cincinnati, OH 45236-2227
Mailing address
8311 Montgomery Rd
Cincinnati, OH 45236-2227
Phone (513) 246-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0711617 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51252 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristate Orthopaedic Treatment Center, Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Tristate Orthopaedic Treatment Center, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Cincinnati, OH
- NPI 1295746691
-
- Orthopaedic Surgery Physician
- Batesville, IN
- NPI 1396166906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1477544252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8311 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362227",
"telephone_number": "513-246-2300",
"fax_number": "513-246-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8311 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362227",
"telephone_number": "513-246-2300",
"fax_number": "513-246-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGL",
"first_name": "PAUL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "51252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0711617",
"state": "OH"
}
],
"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 Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.