Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35-120709 | OH |
N | 207XS0117X | Orthopaedic Spine Surgeon | 35-120709 | OH |
NPI | 1023202728 |
---|---|
Provider Name | Dr. Ryan Mitchel Gasser |
First Address | Canton, OH 44718-3603 |
Second Address | Akron, OH 44302-1704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 18/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0080863 | (05) | OH |
1841239274 | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # (01) | OH |
2551671 | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # (01) | OH |
9338635 | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # (01) | OH |