Provider Demographics
NPI:1326035015
Name:GEHMAN, GARY S (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:S
Last Name:GEHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ABBEYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4603
Mailing Address - Country:US
Mailing Address - Phone:717-291-5991
Mailing Address - Fax:717-291-5806
Practice Address - Street 1:101 ABBEYVILLE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4603
Practice Address - Country:US
Practice Address - Phone:717-291-5991
Practice Address - Fax:717-291-5806
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036550E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA515164OtherAETNA HMO
PA01529101OtherCAPITAL BLUE CROSS
PAB35545OtherHEALTH ASSURANCE
PA0011204510001Medicaid
PA092667OtherHIGHMARK BLUE SHIELD
PA5087029OtherAETNA NON-HMO
PAP002685OtherGATEWAY HEALTH PLAN
PA39132 S1QDOtherGEISINGER HEALTH PLAN
PA5087029OtherAETNA NON-HMO
PA092667OtherHIGHMARK BLUE SHIELD