Healthcare Provider Details

I. General information

NPI: 1871506840
Provider Name (Legal Business Name): MARGERY L S GASS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGERY LYNNE STOOPS GASS M.D.

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

6000 W CREEK RD SUITE 10
INDEPENDENCE OH
44131-2182
US

V. Phone/Fax

Practice location:
  • Phone: 800-223-2273
  • Fax:
Mailing address:
  • Phone: 800-223-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35-048415
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207VC0200X
TaxonomyCritical Care Medicine (Obstetrics & Gynecology) Physician
License Number35-048415
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number35-048415
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35-048415
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number35-048415
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: