Healthcare Provider Details

I. General information

NPI: 1740785898
Provider Name (Legal Business Name): DANIEL JOSEPH GAWRON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4777 E GALBRAITH RD
CINCINNATI OH
45236-2725
US

IV. Provider business mailing address

231 ALBERT SABIN WAY, MSB 1654, ML 0769 UC EMERGENCY MEDICINE
CINCINNATI OH
45267-0769
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-5281
  • Fax: 513-558-5791
Mailing address:
  • Phone: 513-558-5281
  • Fax: 513-558-5791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.141763
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number35141763
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: