GREGORY MARK GOTTSCHLICH (NPI# 1780117630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780117630 |
| Entity Type | Individual |
| Full Name | GREGORY MARK GOTTSCHLICH |
| Practice Address |
3525 Southern Blvd Kettering OH 45429-1221 |
| Practice Telephone | 9373958839 |
| Practice Fax Number | 9373959939 |
| Mailing Telephone | 9373958839 |
| Mailing Fax Number | 9373958387 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34.014568 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080807 | Gregory M Gottschlich | Specialist | 4260 Glendale Milford Rd, Suite 201, Cincinnati, OH 45242-3763 | 2005-06-02 |
| Street Address |
3525 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760466726 | Ryan Garner Mihata | Emergency Medicine | 3525 Southern Blvd, Wsu Em - Cox Building, Kettering, OH 45429-1221 | 2005-12-02 |
| 1558990895 | Paxton James Prather | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-04-08 |
| 1801425889 | Jacob John Patz | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-04-02 |
| 1487282778 | Jonathan Shecter | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-31 |
| 1871121574 | Chikaodinaka Ihejiene | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-29 |
| 1396373296 | Tyler Hunt | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-28 |
| 1780212514 | Benjamin David Boodt | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-28 |
| 1073141024 | Ross Warren Kynast | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-27 |
| 1578190740 | Kyle E Bobay | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-26 |
| 1891322376 | Michael Frein | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1760466726 | Ryan Garner Mihata | Emergency Medicine | 3525 Southern Blvd, Wsu Em - Cox Building, Kettering, OH 45429-1221 | 2005-12-02 |
| 1609871458 | Gary E Gries | Emergency Medicine | 4750 Hempstead Station Dr, Kettering, OH 45429-5164 | 2005-06-17 |
| 1679079909 | Cole Little | Emergency Medicine | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2018-04-04 |
| 1992230908 | Timothy Dekoninck | Emergency Medicine | 3525 Southern Blvd, 3525 Southern Blvd., Kettering, OH 45429-1221 | 2017-04-27 |
| 1790218535 | Daniel Shigley | Emergency Medicine | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2017-04-08 |
| 1740637446 | John Mark Miller | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429 | 2016-05-23 |
| 1841646064 | Jordan Jacobsen | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-05-05 |
| 1902251796 | Nicholas Allen Elliott | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-04-28 |
| 1548614167 | Dustin Cunningham | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-04-20 |
| Find all providers in KETTERING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.