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NPI Code Detail

MEDICARE: ALAN GATZ MD

MEDICARE: ALAN GATZ MD
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
1207Q00000XFamily Medicine Physician35.049349OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N320631OTHEROHWELLCARE NONPAR
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000531763OTHEROHANTHEM

General Provider Information

NPI Number : 1588640825
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN GATZ MD
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 888-987-1151
Fax Number :
Provider Business Practice Location Address
First Line : 15149 SNOW RD
Second Line :
City : BROOK PARK
State : OH
Zip : 44142-2458
Country : US
Telephone Number : 216-279-2536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 02/10/2026

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