Provider Demographics
NPI:1942201231
Name:MOST, GARY JOSEPH (DPM)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:JOSEPH
Last Name:MOST
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12585 CHILLICOTHE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2501
Mailing Address - Country:US
Mailing Address - Phone:440-729-3668
Mailing Address - Fax:440-729-9904
Practice Address - Street 1:12585 CHILLICOTHE RD
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2501
Practice Address - Country:US
Practice Address - Phone:440-729-3668
Practice Address - Fax:440-729-9904
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-2717213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
480021387OtherRR MCR
OH0212755Medicaid
3933570001OtherDMERC
3933570001Medicare NSC
3933570001OtherDMERC
480021387OtherRR MCR