Active NPI
Gordon Steven Fessler, M.D.
- Gastroenterology Physician
- Cincinnati, OH
National Provider Identifier
1649279217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35036655
- Practice address
- 10600 Montgomery Rd
Suite 200
Cincinnati, OH 45242-4463 - Phone
- (513) 794-5600
- Fax
- (513) 281-1908
- NPI assigned
- Jul 18, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35036655 | OH | Primary |
Addresses
Primary practice location
10600 Montgomery Rd
Suite 200
Cincinnati, OH 45242-4463
Mailing address
PO Box 637910
Cincinnati, OH 45263-7910
Phone (513) 853-4706
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64789738 | Medicaid | KY | |
| 100093660 | Medicaid | IN | |
| P00675348 | Other | IN | RAILROAD MEDICARE |
| 0274617 | Medicaid | OH | |
| 100003220 | Other | OH | RAILROAD MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1649279217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637910",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637910",
"telephone_number": "513-853-4706",
"fax_number": "513-853-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 MONTGOMERY RD",
"address_2": "SUITE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452424463",
"telephone_number": "513-794-5600",
"fax_number": "513-281-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FESSLER",
"first_name": "GORDON",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35036655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64789738",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100093660",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00675348",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0274617",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100003220",
"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 Feb 26, 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.