Active NPI
Michael R Gerber DPM Inc
- Foot & Ankle Surgery Podiatrist
- Massillon, OH
National Provider Identifier
1881635068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- OH36002652G
- Legal business name
- MICHAEL R GERBER DPM INC
- Practice address
- 2400 Wales Ave NW Ste C
Massillon, OH 44646-2366 - Phone
- (308) 800-0883
- Fax
- (330) 880-0089
- NPI assigned
- Jun 9, 2006
- Last updated
- Dec 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sarah Richmond
- Title
- Credentialing Manager
- Phone
- (513) 829-9333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | OH36002652G | OH | Primary |
Addresses
Primary practice location
2400 Wales Ave NW Ste C
Massillon, OH 44646-2366
Mailing address
2400 Wales Ave NW Ste C
Massillon, OH 44646-2366
Phone (330) 880-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2821503 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7006 Fulton Dr NW
Canton, OH 44718
Phone 3304988118806
2400 Wales Ave NW
Ste C
Massillon, OH 44646
Phone (330) 244-9688
6521 Frank Ave NW
North Canton, OH 44720
Phone (330) 244-9688
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Massillon, OH
- NPI 1336142207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766707200000",
"number": "1881635068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 WALES AVE NW STE C",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462366",
"telephone_number": "330-880-0088",
"fax_number": "330-880-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 WALES AVE NW STE C",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462366",
"telephone_number": "308-800-0883",
"fax_number": "330-880-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL R GERBER DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A",
"authorized_official_last_name": "RICHMOND",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "513-829-9333",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "OH36002652G",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2821503",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.