MEDICARE: JAMES R. GEBHART, D.O., PC

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	2086S0129X	Vascular Surgery Physician	OS007886L	PA

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	:	1831210145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES R. GEBHART, D.O., PC

Provider Business Mailing Address
First Line	:	2425 GARDEN WAY
Second Line	:	SUITE 100B
City	:	HERMITAGE
State	:	PA
Zip	:	16148-5215
Country	:	US
Telephone Number	:	724-981-4190
Fax Number	:	724-981-6317

Provider Business Practice Location Address
First Line	:	2425 GARDEN WAY
Second Line	:	SUITE 100B
City	:	HERMITAGE
State	:	PA
Zip	:	16148-5215
Country	:	US
Telephone Number	:	724-981-4190
Fax Number	:	724-981-6317

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES R GEBHART
Credential	:	D.O.
Telephone Number	:	724-981-4190

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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