Active NPI
Michael Gurkin
- Community Health Worker
- Rock Creek, OH
National Provider Identifier
1861639486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 06813
- Practice address
- 3317 Mechanicsville Rd
Rock Creek, OH 44084-9781 - Phone
- (440) 563-3241
- NPI assigned
- Jan 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 06813 | OH | Primary |
Addresses
Primary practice location
3317 Mechanicsville Rd
Rock Creek, OH 44084-9781
Mailing address
3317 Mechanicsville Rd
Rock Creek, OH 44084-9781
Phone (440) 563-3241
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06813 | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1861639486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 MECHANICSVILLE RD",
"city": "ROCK CREEK",
"state": "OH",
"postal_code": "440849781",
"telephone_number": "440-563-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 MECHANICSVILLE RD",
"city": "ROCK CREEK",
"state": "OH",
"postal_code": "440849781",
"telephone_number": "440-563-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURKIN",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "06813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Creek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.