Healthcare Provider Details

I. General information

NPI: 1134123516
Provider Name (Legal Business Name): STEVEN A GAICH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3985 MEDINA RD STE. 200
MEDINA OH
44256-5968
US

IV. Provider business mailing address

3985 MEDINA RD STE. 200
MEDINA OH
44256-5968
US

V. Phone/Fax

Practice location:
  • Phone: 330-952-2251
  • Fax: 330-952-2261
Mailing address:
  • Phone: 330-952-2251
  • Fax: 330-952-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35-071192
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: