MEDICARE: MICHAEL R GERBER DPM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	OH36002652G	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881635068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL R GERBER DPM INC

Provider Business Mailing Address
First Line	:	2400 WALES AVE NW STE C
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-2366
Country	:	US
Telephone Number	:	330-880-0088
Fax Number	:	330-880-0089

Provider Business Practice Location Address
First Line	:	2400 WALES AVE NW STE C
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-2366
Country	:	US
Telephone Number	:	308-800-0883
Fax Number	:	330-880-0089

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	MS. SARAH RICHMOND
Credential	:
Telephone Number	:	513-829-9333

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	12/26/2025

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Directions to “MICHAEL R GERBER DPM INC ” Practice Location

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