Capital Medical Assoc. PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

JG005927 Issued in MI

Legal business name

CAPITAL MEDICAL ASSOC. PC

Practice address

5385 Terence CT
Bloomfield Hills, MI 48302-2555

Phone

(248) 851-2083

Fax

(248) 855-2130

NPI assigned

Sep 28, 2006

Last updated

Feb 28, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerald Stuart Gach, D.O.

Title

President

Phone

(248) 851-2083

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1790876241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 TERENCE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022555",
            "telephone_number": "248-851-2083",
            "fax_number": "248-855-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 TERENCE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022555",
            "telephone_number": "248-851-2083",
            "fax_number": "248-855-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL MEDICAL ASSOC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "GACH",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-851-2083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "JG005927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "055632430",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.