Individual provider Active NPI

Reynaldo Gacad, MD

  • Gastroenterology Physician
  • Akron, OH
National Provider Identifier
1689634057
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-063080 Issued in OH
Practice address
570 White Pond Dr
Suite 200
Akron, OH 44320-4205
Phone
(330) 869-0954
Fax
(330) 869-0964
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35-063080 OH Primary

Addresses

Primary practice location

570 White Pond Dr
Suite 200
Akron, OH 44320-4205

Mailing address

570 White Pond Dr
Suite 200
Akron, OH 44320-4205
Phone (330) 869-0954

Other identifiers 1

IdentifierTypeStateIssuer
0923344MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
35-063080OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Gastroenterology, Inc PastSince Nov 1, 2000 Accepting new patients
Akron Digestive Disease Consultants, Inc Gastroenterology PastSince Sep 1, 2002 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1689634057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204205",
            "telephone_number": "330-869-0954",
            "fax_number": "330-869-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204205",
            "telephone_number": "330-869-0954",
            "fax_number": "330-869-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACAD",
        "first_name": "REYNALDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-063080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0923344",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.