Individual
LYNDON B. GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5381
(740) 446-5082
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5381
(740) 446-5082
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20258
WV
207V00000X
Obstetrics & Gynecology Physician
Primary
35-07-3976
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006850
ANTHEM BCBS
—
01
—
000000181641
UNISON MEDICAID
OH
01
—
001714102
MOUNTAIN STATE BCBS
—
05
—
0093789000
—
WV
01
—
160037957
RR MEDICARE
—
01
—
2052317
MOLINA MEDICAID
OH
05
—
2052317
—
OH
01
—
310917085039
CARESOURCE MEDICAID
OH
Enumeration date
05/31/2006
Last updated
01/21/2021
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