Provider Demographics
NPI:1346235728
Name:GAYNIER, CHRISTINE RENEE (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:RENEE
Last Name:GAYNIER
Suffix:
Gender:F
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:PO BOX 636930
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6930
Mailing Address - Country:US
Mailing Address - Phone:419-996-2650
Mailing Address - Fax:419-996-5165
Practice Address - Street 1:582 N CABLE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2133
Practice Address - Country:US
Practice Address - Phone:419-996-2500
Practice Address - Fax:419-996-2509
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35083566207Q00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000337143OtherANTHEM PROVIDER #
OH2468262Medicaid
1134112469OtherGROUP NPI# PRIMARY OFFICE
1669550182OtherGROUP NPI# SATELLITE OFFI
OHP00161875OtherTRAVELERS/MEDICARE #
OHP00161875OtherTRAVELERS/MEDICARE #
1134112469OtherGROUP NPI# PRIMARY OFFICE
1669550182OtherGROUP NPI# SATELLITE OFFI