David John Gacetta, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00022332 Issued in WA

Practice address

2103 59TH Ave NW
Olympia, WA 98502-3409

Phone

(360) 352-4048

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Imaging Northwest

  • Radiology Clinic/Center
  • Covington, WA
  • NPI 1225202674
  NPD (past)
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1083802946
  NPD (past)
• Providence Health & Services Washington

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1174744304
  NPD (past)
• Radia Imaging Center Holdings LLC

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1639653017
  NPD (past)
• Tra-Minw P S

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1396814166
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902897226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 59TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985023409",
            "telephone_number": "360-352-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 59TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985023409",
            "telephone_number": "360-352-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACETTA",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00022332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8602666",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathon Furlong
• Kaylin Jeanne Furry, M.A. ED., LMHC
• Robyn Furse, M.A.
• Crystal Louise Furtick-Vest, ARNP FNP-BC
• Patricia Marie Gabrielse, MS, CCC
• Maria Lucina Quintos Gado, RN
• Marilyn D Gage, MD
• Jamie L Gagnon, MA, MHP, CMHS, LMHC
• Meleah Gagnon, CL
• Richard A Gailey, P.A.

• Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.