Provider Demographics
NPI:1003923533
Name:HOUSE CALL MD LLC
Entity Type:Organization
Organization Name:HOUSE CALL MD LLC
Other - Org Name:JOHN E GEHMAN MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GEHMAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:804-744-5050
Mailing Address - Street 1:7323 BOULDER VIEW LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4953
Mailing Address - Country:US
Mailing Address - Phone:804-744-5050
Mailing Address - Fax:804-744-8811
Practice Address - Street 1:7323 BOULDER VIEW LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4953
Practice Address - Country:US
Practice Address - Phone:804-744-5050
Practice Address - Fax:804-744-8811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010249431Medicaid
VAC10051Medicare PIN
E69295Medicare UPIN