Provider Demographics
NPI:1134123516
Name:GAICH, STEVEN A (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:GAICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3985 MEDINA RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-5968
Mailing Address - Country:US
Mailing Address - Phone:330-952-2251
Mailing Address - Fax:330-952-2261
Practice Address - Street 1:3985 MEDINA RD
Practice Address - Street 2:STE. 200
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5968
Practice Address - Country:US
Practice Address - Phone:330-952-2251
Practice Address - Fax:330-952-2261
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-071192207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2127362Medicaid
OH2127362Medicaid
OHH306561Medicare PIN
OH4120433OtherMEDICARE ID
OH2127362Medicaid