Mr. Theodore Marino Ezekiel Gagianas, PA-C
Mr. Theodore Marino Ezekiel Gagianas, PA-C is a Physician Assistant in Salem, Ohio. Qualified in 2015, 11 years ago. Practices with Sch Professional Corporation, a 59-clinician group and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.
- Years since qualifying
- 11
- Licensed in
- OH, PA
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1995 E State StSalem, OH 44460-2423
Phone: (330) 332-7840
Fax: (330) 332-7847
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 50.007297 (OH) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence MA058003 (PA) |
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence OA003697 (PA) |
Record details
| NPI number | 1396100749 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | December 29, 2015 |
| Last updated in NPPES | December 6, 2022 |
| Certification date | December 6, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Sch Professional Corporation — 59 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |