Gary S Deguzman, M.D., Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

19734 Issued in WV

Legal business name

GARY S DEGUZMAN, M.D., INC

Practice address

2115 Chapline St
Suite306
Wheeling, WV 26003-3859

Phone

(304) 234-1817

Fax

(304) 234-8448

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary S Deguzman, M.D.

Title

Owner

Phone

(304) 234-1817

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659586428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CHAPLINE ST",
            "address_2": "SUITE306",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033859",
            "telephone_number": "304-234-1817",
            "fax_number": "304-234-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CHAPLINE ST",
            "address_2": "SUITE306",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033859",
            "telephone_number": "304-234-1817",
            "fax_number": "304-234-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S DEGUZMAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGUZMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-234-1817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WV",
            "license": "19734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160281",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300027000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ganzer - Hahn Dermatology Associates, PLLC (Ohio Valley Dermatology)
• Gary A Ganzer, M.D.
• Gregory Ganzer, D.O.
• Michael Garman, ATC,PTA
• Daniel J Garrison
• Leanne Gasbarro, PA-C
• Frank Gaudio, MD
• Alex Hunter Gazdik
• Mark Caldwell Geary II, D.O.
• Richard C Geary Jr., D.O.

• Medical Specialty Clinic/Center in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Medical Specialty Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.