Organization Active NPI

Tuscarawas Valley Urology, LTD

  • Specialist
  • Dover, OH
National Provider Identifier
1912198516
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35080679G Issued in OH
Legal business name
TUSCARAWAS VALLEY UROLOGY, LTD
Practice address
300 Medical Park Dr
Suite 103
Dover, OH 44622-2073
Phone
(330) 364-2311
Fax
(330) 364-7802
NPI assigned
Aug 8, 2007
Organization subpart
Yes
Parent organization
TUSCARAWAS VALLEY UROLOGY, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Dr. Michael Ralph Gigax, M.D.
Title
Doctor
Phone
(330) 364-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35080679G OH Primary

Addresses

Primary practice location

300 Medical Park Dr
Suite 103
Dover, OH 44622-2073

Mailing address

300 Medical Park Dr
Suite 103
Dover, OH 44622-2073
Phone (330) 364-2311

Other identifiers 1

IdentifierTypeStateIssuer
2489310MedicaidOH

National Provider Directory

National Provider Directory
Part of
Tuscarawas Valley Urology LTD

Locations

300 Medical Park Dr
Ste 103
Dover, OH 44622
Phone (330) 364-2311

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1912198516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DR",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222073",
            "telephone_number": "330-364-2311",
            "fax_number": "330-364-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DR",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222073",
            "telephone_number": "330-364-2311",
            "fax_number": "330-364-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCARAWAS VALLEY UROLOGY, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUSCARAWAS VALLEY UROLOGY, LTD",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "GIGAX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "330-364-2311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35080679G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2489310",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

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