Healthcare Provider Details

I. General information

NPI: 1942201231
Provider Name (Legal Business Name): GARY JOSEPH MOST D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12585 CHILLICOTHE RD
CHESTERLAND OH
44026-2501
US

IV. Provider business mailing address

12585 CHILLICOTHE RD
CHESTERLAND OH
44026-2501
US

V. Phone/Fax

Practice location:
  • Phone: 440-729-3668
  • Fax: 440-729-9904
Mailing address:
  • Phone: 440-729-3668
  • Fax: 440-729-9904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number36-00-2717
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: