1780736421 NPI number — ARTHUR A. GAING, M.D.,PLLC.

Table of content: (NPI 1780736421)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780736421 NPI number — ARTHUR A. GAING, M.D.,PLLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARTHUR A. GAING, M.D.,PLLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780736421
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 CENTRAL AVE
Provider Second Line Business Mailing Address:
SUITE 3
Provider Business Mailing Address City Name:
ASHLAND
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41101-7575
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-327-1760
Provider Business Mailing Address Fax Number:
606-327-1769

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 CENTRAL AVE
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41101-7575
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-327-1760
Provider Business Practice Location Address Fax Number:
606-329-2237
Provider Enumeration Date:
01/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GAING
Authorized Official First Name:
ARTHUR
Authorized Official Middle Name:
AUNG
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
606-327-1760

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  26484 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 64931280 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9303 . This is a "MEDICARE GROUP" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: P00139288 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000337271 . This is a "ANTHEM" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 0884959 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: DB9578 . This is a "RAILROAD MEDICARE GROUP" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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