Steven P Gellman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F3991 Issued in TX

Practice address

580 S Denton Tap Rd
#123
Coppell, TX 75019-4098

Phone

(972) 462-0762

Fax

(972) 393-2133

NPI assigned

Nov 10, 2005

Last updated

Jun 4, 2009By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1659352169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750190707",
            "telephone_number": "972-471-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S DENTON TAP RD",
            "address_2": "#123",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194098",
            "telephone_number": "972-462-0762",
            "fax_number": "972-393-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLMAN",
        "first_name": "STEVEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105308403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105308404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Alan Garber, PH.D.
• Melissa Vecentia Garcia-Rozas, DDS
• Janie Otto Garrett, LCSW
• Scharlene Kay Gaudet, DC, DACNB
• GD TX WJS PLLC (Wayne and Julie Scott DDS)
• Greg Gemoules, O.D.
• Crystal Hummel George, CRC, LPC-A
• Jonathan George, DDS
• Anne Georgulas, M.D.
• Nathan Gibson

• Family Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.