Kenneth M Gainer, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

3584204 Issued in OH

Practice address

222 N 5TH St
Suite 201
Martins Ferry, OH 43935-1582

Phone

(740) 633-6671

NPI assigned

Jan 23, 2007

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 3

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.

• Tri-State Pediatric Ophthalmology, LLC

  • Ophthalmology Physician
  • Martins Ferry, OH
  • NPI 1205825122
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1851445985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 5TH ST",
            "address_2": "SUITE 201",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 5TH ST",
            "address_2": "SUITE 201",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351582",
            "telephone_number": "740-633-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINER",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "3584204",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "20425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524209",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10439701",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003963000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Freed, MD
• Brittany Nicole Freese
• Valerie Claudia Fuller, D.M.D
• Alecia Erin Furbee, BCBA
• Gabriel Sella Inc
• George Simon Goetz, MD
• Griffiths Pharmacy Inc
• Mary T Hammond, MD
• Samantha Nicole Hans
• Harold L. Pickens

• Ophthalmology Physician in Martins Ferry, OH
• Providers in Martins Ferry, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.