Active NPI
Dwayne Douglas Gbelia, SA-C
- Surgical Assistant
- Gilbert, AZ
National Provider Identifier
1760779672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 09-137
- Practice address
- 3317 S Higley Rd
Suite 114-171
Gilbert, AZ 85297-5436 - Phone
- (480) 620-4498
- Fax
- (888) 411-9856
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 09-137 | AZ | Primary |
Addresses
Primary practice location
3317 S Higley Rd
Suite 114-171
Gilbert, AZ 85297-5436
Mailing address
3317 S Higley Rd
Suite 114-171
Gilbert, AZ 85297-5436
Phone (480) 620-4498
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09-137 | AZ | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dwayne Douglas Gbelia Sa-C PLLC | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Assistant
- Gilbert, AZ
- NPI 1023305836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1760779672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 S HIGLEY RD",
"address_2": "SUITE 114-171",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852975436",
"telephone_number": "480-620-4498",
"fax_number": "888-411-9856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 S HIGLEY RD",
"address_2": "SUITE 114-171",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852975436",
"telephone_number": "480-620-4498",
"fax_number": "888-411-9856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GBELIA",
"first_name": "DWAYNE",
"middle_name": "DOUGLAS",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "AZ",
"license": "09-137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.