Richard Jan Gajdowski, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD047759L Issued in PA

Practice address

110 Merlin Dr
MC Murray, PA 15317-3330

Phone

(412) 587-5093

Fax

(412) 587-5091

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Richard Gajdowski Medicine PLLC

  • Emergency Medicine Physician
  • Plainview, NY
  • NPI 1780545335
  NPD Authorized official
• Emergency Medicine Physicians of Medina County, LTD

  • Emergency Medicine Physician
  • Lodi, OH
  • NPI 1457390312
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1780625590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MERLIN DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173330",
            "telephone_number": "412-587-5093",
            "fax_number": "412-587-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MERLIN DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173330",
            "telephone_number": "412-587-5093",
            "fax_number": "412-587-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJDOWSKI",
        "first_name": "RICHARD",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35066568",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD047759L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127651",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G. Alan Yeasted, MD
• Gabriel Medical Associates, Inc.
• Daniel E Gabriel, M.D.
• Sarah Gabriel, MSED, LBS
• Peter J. Gagianas, M.D.
• Amy Galbraith
• Gallagher Podiatry PLLC
• Kevin F Gallagher, D.P.M.
• Sarah Gambridge, CRNP
• Dixie D Gardner

• Emergency Medicine Physician in McMurray, PA
• Providers in McMurray, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.