Gary Norman Gitschlag, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD0000014247 Issued in TN

Practice address

2100 W Clinch Ave
Suite 400 Koppel Plaza
Knoxville, TN 37916-2219

Phone

(865) 521-7998

Fax

(865) 521-7405

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699856567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CLINCH AVE",
            "address_2": "SUITE 400 KOPPEL PLAZA",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162219",
            "telephone_number": "865-521-7998",
            "fax_number": "865-521-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CLINCH AVE",
            "address_2": "SUITE 400 KOPPEL PLAZA",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162219",
            "telephone_number": "865-521-7998",
            "fax_number": "865-521-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITSCHLAG",
        "first_name": "GARY",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000014247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "20250",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3196142",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64772437",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Gipson, PNP
• Sahil Girdhar, MBBS
• Girling Health Care, Inc.
• Jeanne-Marie Gisclair, COUNSELOR
• Sara Kristina Gissel
• Mike Giusto
• Kimberly Anush Givelechian, DC
• Vanessa Givens, MD
• Colby Lee Gladson, CRNA
• Juliet Gladson, NP

• Ophthalmology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.