Donald James Gayda, D.O.

Key facts

NPI

1669423786

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

34.004731 (OH)

Practice address

3000 Mack Rd
Fairfield, OH 45014-5335

Phone

(513) 870-7001

Fax

(513) 603-8174

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Emergency Coverage, LLC Family Medicine Physician · Newport, TN · NPI 1427005008
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · TN
• Ohio Emergency Professionals Inc Emergency Medicine Physician · Columbus, OH · NPI 1982983425
  Medicare reassignment NPD EMERGENCY MEDICINE · OH
• Hamilton Emergency Physicians Inc Emergency Medicine Physician · Hamilton, OH · NPI 1992705933
  NPD (past) EMERGENCY MEDICINE

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Claiborne Medical Center General Acute Care Hospital · Tazewell, TN · NPI 1942205166
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Emergency Medicine
Also: Family Practice, General Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Coverage LLC (761 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Claiborne Medical Center Hospital · Tazewell, TN · CCN 440057

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in OH, TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgayda@yourcarecommunity.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2015.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1669423786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-870-7001",
            "fax_number": "513-603-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYDA",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004731G",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.004731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FAIRFIELD",
            "identifier": "000000316415",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000317059",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760136",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Fairfield, OH · Emergency Medicine Physician in Ohio