Provider Demographics
NPI:1891744983
Name:HERRINGTON, GAYLE M (MD)
Entity Type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:M
Last Name:HERRINGTON
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 1:1 AKRON GENERAL AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2432
Mailing Address - Country:US
Mailing Address - Phone:330-344-6015
Mailing Address - Fax:330-344-6820
Practice Address - Street 1:1 AKRON GENERAL AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2432
Practice Address - Country:US
Practice Address - Phone:330-344-6015
Practice Address - Fax:330-344-6820
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-070996207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0454744OtherAKRON GENERAL (IMCA) MEDICAID GROUP #
OH36600271OtherAKRON GENERAL MEDICARE GROUP #
OH1821035940OtherAKRON GENERAL TYPE 2 NPI # (FOR MEDICAID MEDICARE)
OH2114849Medicaid
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH1821035940OtherAKRON GENERAL TYPE 2 NPI # (FOR MEDICAID MEDICARE)
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #