Gem City Physicians Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GEM CITY PHYSICIANS INC

Practice address

7668 Paragon Rd
Ste a
Centerville, OH 45459-4049

Phone

(937) 438-9064

Fax

(937) 438-5060

NPI assigned

Jun 14, 2006

Last updated

May 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Robert Mastandrea, D.O.

Title

Owner

Phone

(937) 438-9064

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1902849169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7668 PARAGON RD",
            "address_2": "STE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594049",
            "telephone_number": "937-438-9064",
            "fax_number": "937-438-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7668 PARAGON RD",
            "address_2": "STE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594049",
            "telephone_number": "937-438-9064",
            "fax_number": "937-438-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM CITY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "MASTANDREA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-438-9064",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Gehle, LISW-S, CCTP-II
• Michele Marie Geiger, RD
• Jennifer Geitgey, APRN
• Shelly J Geloneck, P.A
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• Dick A. Genardi, PH.D.
• Lamar Kohoutek Gerber, PHARMD
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• Get Centered Counseling & Consultation LLC
• Tameka Shantae Gibbs

• Internal Medicine Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.