Individual
VINCENT R GATHINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-5404
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01064036A
IN
207L00000X
Anesthesiology Physician
47634
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200899540
—
IN
01
—
264430G22
MEDICARE
IN
01
—
412840143
MEDICARE
IN
05
—
7100775580
—
KY
01
—
940990FF
MEDICARE
IN
Enumeration date
08/07/2006
Last updated
01/27/2026
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