James A Gideon, M.D.

Individual provider Active NPI Rheumatology Physician · Bluffton, OH

NPI 1962460485 · NPPES record last updated Oct 8, 2013

Key facts

NPI
1962460485
Entity type
Individual (NPI type 1)
Primary specialty
Rheumatology Physician 207RR0500X
License
35.075051 (OH)
Practice address
139 Garau St
Bluffton, OH 45817-1027
Phone
(419) 369-2190
Fax
(419) 369-4431
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 35.075051 OH Yes

Addresses

Primary practice location

139 Garau St
Bluffton, OH 45817-1027

Mailing address

139 Garau St
Bluffton, OH 45817-1027
Phone (419) 369-2190

Other identifiers

IdentifierTypeStateIssuer
2338787MedicaidOH

Other providers in Bluffton, OH

All providers in Bluffton, OH · Rheumatology Physician in Ohio

Sources for this page

Verify at the official NPI Registry.