Provider Demographics
NPI:1164477758
Name:GEHRING, JAMES MORLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MORLEY
Last Name:GEHRING
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 1:900 23RD ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-715-5109
Mailing Address - Fax:202-715-4871
Practice Address - Street 1:900 23RD ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-715-5109
Practice Address - Fax:202-715-4871
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-426031207R00000X
DCMD036629208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC038855200Medicaid
I42716Medicare UPIN
PA094955Medicare ID - Type Unspecified
DC038855200Medicaid