Individual provider Active NPI

Gary R Kania, D.O.

  • Surgery Physician
  • Thomasville, AL
National Provider Identifier
1487649448
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO-342 Issued in AL
Practice address
33650 Highway 43
Suite100
Thomasville, AL 36784-3305
Phone
(334) 636-9999
Fax
(334) 636-9950
NPI assigned
Sep 15, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DO-342 AL Primary

Addresses

Primary practice location

33650 Highway 43
Suite100
Thomasville, AL 36784-3305

Mailing address

33650 Highway 43
Suite100
Thomasville, AL 36784-3305
Phone (334) 636-9999

Other identifiers 1

IdentifierTypeStateIssuer
000086382MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20100511000467 AL Practitioner - General Surgery 2668500745 Practice locations: Thomasville, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-342ALMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: gary.kania@garykania.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1487649448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33650 HIGHWAY 43",
            "address_2": "SUITE100",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843305",
            "telephone_number": "334-636-9999",
            "fax_number": "334-636-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33650 HIGHWAY 43",
            "address_2": "SUITE100",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843305",
            "telephone_number": "334-636-9999",
            "fax_number": "334-636-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIA",
        "first_name": "GARY",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-12-06",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "DO-342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000086382",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, AL

Sources for this page

Verify at the official NPI Registry.