James R. Gebhart, D.O., PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

OS007886L Issued in PA

Legal business name

JAMES R. GEBHART, D.O., PC

Practice address

2425 Garden Way
Suite 100B
Hermitage, PA 16148-5215

Phone

(724) 981-4190

Fax

(724) 981-6317

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James R Gebhart, D.O.

Title

Owner

Phone

(724) 981-4190

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831210145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 GARDEN WAY",
            "address_2": "SUITE 100B",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485215",
            "telephone_number": "724-981-4190",
            "fax_number": "724-981-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 GARDEN WAY",
            "address_2": "SUITE 100B",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485215",
            "telephone_number": "724-981-4190",
            "fax_number": "724-981-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. GEBHART, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEBHART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-981-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "OS007886L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012934350002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.