Organization Active NPI

Michael R Gerber DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Massillon, OH
National Provider Identifier
1881635068
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
OH36002652G Issued in OH
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2821503MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100318000634 OH Part B Supplier - Clinic/Group Practice 2264468271 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, OH; Massillon, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.