Provider Demographics
NPI:1639110885
Name:GILBERT, ANDRE (MD,FACS)
Entity type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:
Last Name:GILBERT
Suffix:
Gender:M
Credentials:MD,FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 N. LAKE CT
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840
Mailing Address - Country:US
Mailing Address - Phone:419-423-8090
Mailing Address - Fax:419-423-8902
Practice Address - Street 1:1651 N. LAKE CT
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840
Practice Address - Country:US
Practice Address - Phone:419-423-8090
Practice Address - Fax:419-423-8902
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069039208800000X
MI4301504015208800000X
CODR.0070051208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00225633OtherRAILROAD MEDICARE
OH000000362900OtherANTHEM
OH2039458Medicaid
OHP00225633OtherRAILROAD MEDICARE
OH2039458Medicaid