MEDICARE: VERENA GERGUIS PA-C

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	363A00000X	Physician Assistant	50.010090RX	OH

General Provider Information

NPI Number	:	1124606629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERENA GERGUIS PA-C

Provider Business Mailing Address
First Line	:	1530 NEEDMORE RD STE 300
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414-3980
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 NEEDMORE RD STE 300
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414-3980
Country	:	US
Telephone Number	:	937-277-4274
Fax Number	:	937-641-2655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	03/03/2026

Similar Medicare Providers

1295033116 — THEIN TUN AUNG M.D.
Practice Location Address:

1530 NEEDMORE RD , STE 300
DAYTON, OH
45414-3980

Practice Phone: 937-277-4274
Practice Fax: 937-277-8476

1073950895 — MATTHEW STEPHEN KELZER PA-C
Practice Location Address:

1530 NEEDMORE RD STE 300
DAYTON, OH
45414-3980

Practice Phone: 937-277-4274
Practice Fax:

1689069866 — DR. ERIK POLDEMANN M.D.
Practice Location Address:

1530 NEEDMORE RD STE 300
DAYTON, OH
45414-3980

Practice Phone: 937-276-4274
Practice Fax: 937-277-8476

1346622578 — MICHELLE ANN NISSEN AG-ACNP
Practice Location Address:

1530 NEEDMORE RD STE 300
DAYTON, OH
45414-3980

Practice Phone: 937-277-4274
Practice Fax: 937-277-8476

1558730515 — SHANI WALKER
Practice Location Address:

1530 NEEDMORE RD STE 300
DAYTON, OH
45414-3980

Practice Phone: 937-277-4274
Practice Fax: 937-277-8476

1669528493 — OPTICAL FASHION CENTERS INC
Practice Location Address:

761 LYONS RD
DAYTON, OH
45459-3980

Practice Phone: 937-434-7338
Practice Fax:

Directions to “ VERENA GERGUIS PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.