Provider Demographics
NPI:1275577652
Name:GEHRIS, JOHN MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARTIN
Last Name:GEHRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:624 QUAKER LN
Mailing Address - Street 2:SUITE 207-C
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3832
Mailing Address - Country:US
Mailing Address - Phone:336-883-2500
Mailing Address - Fax:336-883-9728
Practice Address - Street 1:404 WESTWOOD AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4315
Practice Address - Country:US
Practice Address - Phone:336-882-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0097-00559207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
25532OtherPARTNERS
P00160957OtherMEDICARE RAILROAD
743605OtherUNITED HEALTHCARE
NC8911763Medicaid
D4635OtherMEDCOST
1091482OtherCIGNA
11763OtherBCBS
4022025OtherAETNA
NC2261931BMedicare ID - Type Unspecified
25532OtherPARTNERS
NCB96742Medicare UPIN