Provider Demographics
NPI:1881672608
Name:BIHN, GERALD T (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:T
Last Name:BIHN
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 1:27459 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-1028
Mailing Address - Country:US
Mailing Address - Phone:419-874-8811
Mailing Address - Fax:419-874-0665
Practice Address - Street 1:1103 VILLAGE SQUARE DR
Practice Address - Street 2:SUITE 205
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1783
Practice Address - Country:US
Practice Address - Phone:419-874-4840
Practice Address - Fax:419-874-0665
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35059322204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH01287OtherPARAMOUNT NUMBER
OH0843216Medicaid
OH000000137152OtherANTHEM INDIVIDUAL NUMBER
OHE92001Medicare UPIN
OH0843216Medicaid