MEDICARE: DR. JEN-TZER GAU 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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	35079234G	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790757268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEN-TZER GAU MD

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD STE 360
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4141
Country	:	US
Telephone Number	:	614-544-6155
Fax Number	:	614-544-6370

Provider Business Practice Location Address
First Line	:	142 PARKS HALL
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-1359
Country	:	US
Telephone Number	:	740-593-2482
Fax Number	:	740-593-0036

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	01/25/2022

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