NPIMap

Individual provider Active NPI

Gerald Anthony Cephas, MD

  • Research Clinic/Center
  • Dayton, OH
National Provider Identifier
1801312673
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
License
0101231722 Issued in VA
Practice address
240 W Elmwood Dr Ste 1000
Dayton, OH 45459-4248
Phone
(937) 224-8200
Fax
(937) 224-3359
NPI assigned
Aug 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 0101231722 VA
Public Health & General Preventive Medicine Physician 2083P0901X 35.132187 OH
Surgery Physician 208600000X 0101231722 VA
Surgery Physician 208600000X 35.132187 OH
Research Clinic/Center 261QR1100X 35.132187 OH
Research Clinic/Center 261QR1100X 0101231722 VA Primary

Addresses

Primary practice location

240 W Elmwood Dr Ste 1000
Dayton, OH 45459-4248

Mailing address

35 S Saint Clair St Apt 402
Dayton, OH 45402-2167

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.132187OHMDResearch Clinic/Center
0101231722VAMDResearch Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Behavioral Care, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1801312673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S SAINT CLAIR ST APT 402",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W ELMWOOD DR STE 1000",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594248",
            "telephone_number": "937-224-8200",
            "fax_number": "937-224-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPHAS",
        "first_name": "GERALD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "VA",
            "license": "0101231722",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OH",
            "license": "35.132187",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101231722",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.132187",
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "OH",
            "license": "35.132187",
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "VA",
            "license": "0101231722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.