Individual provider Active NPI

Gary E Takahashi, DO

  • Anesthesiology Physician
  • Dayton, OH
National Provider Identifier
1689645095
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34006234 Issued in OH
Practice address
3180 Kettering Blvd
Dayton, OH 45439-1924
Phone
(937) 297-6072
Fax
(937) 293-0969
NPI assigned
Feb 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34006234 OH Primary
Anesthesiology Physician 207L00000X 39175 CO

Addresses

Primary practice location

3180 Kettering Blvd
Dayton, OH 45439-1924

Mailing address

5750 Stone Lake Dr
Dayton, OH 45429-6053
Phone (937) 439-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6234OHMDOptometrist
39175COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Services Network LTD Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
Premier Pain Physicians, LLC Past Accepting new patients
Mont Green Anesthesiology Inc Anesthesiology Past Accepting new patients
Consolidated Anesthesiologists Inc Anesthesiology Past Accepting new patients

Locations

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

5950 Innovation Dr
Middletown, OH 45005
Phone (513) 261-6200

Organizations & group practices 4

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689645095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 STONE LAKE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454296053",
            "telephone_number": "937-439-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 KETTERING BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-297-6072",
            "fax_number": "937-293-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAHASHI",
        "first_name": "GARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34006234",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "39175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.