Active NPI
Alex Hunter Gazdik
- Athletic Trainer
- Wheeling, WV
National Provider Identifier
1891219523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT006152
- Practice address
- 1 Medical Park
Wheeling, WV 26003-6379 - Phone
- (740) 243-3000
- NPI assigned
- Aug 3, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT006152 | OH | Primary |
Addresses
Primary practice location
1 Medical Park
Wheeling, WV 26003-6379
Mailing address
203 Bethel LN
Saint Clairsville, OH 43950-1108
Phone (740) 359-1490
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 |
|---|---|---|---|
| AT006152 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1891219523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 BETHEL LN",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439501108",
"telephone_number": "740-359-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "740-243-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAZDIK",
"first_name": "ALEX",
"middle_name": "HUNTER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT006152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.