MR. THEODORE MARINO EZEKIEL GAGIANAS PA-C NPI 1396100749

NPI Information

NPI: 1396100749
Provider Name: MR. THEODORE MARINO EZEKIEL GAGIANAS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: SCH PROFESSIONAL CORPORATION

PECOS Registration: Yes

Address:
1995 E STATE ST
SALEM, OH
ZIP 44460
Phone: (330) 332-7840
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MR. Theodore Marino Ezekiel Gagianas, PA-C is a surgical physician assistant in Salem, OH with 9 years of experience. MR. Theodore Marino Ezekiel Gagianas, PA-C NPI is 1396100749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1995 E STATE ST
SALEM, OH
ZIP 44460-423
Phone: (330) 332-7840
Fax: (330) 332-7847

The NPI 1396100749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2015 and was last updated on 12/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	MA058003	PENNSYLVANIA	No
2	363AS0400X	Physician Assistant	Surgical	OA003697	PENNSYLVANIA	No
3	363AS0400X	Physician Assistant	Surgical	50.007297	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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