DR. KENNETH J GERDES (NPI# 1568406569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568406569 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J GERDES |
| Credential | M.D. |
| Practice Address |
1111 Amsterdam Ave New York NY 10025-1716 |
| Mailing Address |
255 W Michigan Ave Jackson MI 49201-2218 |
| Practice Telephone | 2125232309 |
| Mailing Telephone | 5177876440 |
| Mailing Fax Number | 5177874146 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 178414 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487187118 | Kenneth Gerdes | Registered Nurse | 10011 J St, Omaha, NE 68127-1106 | 2017-04-10 |
| 1720020100 | Kenneth L Gerdes | Internal Medicine | 11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6150 | 2006-06-12 |
| Street Address |
1111 AMSTERDAM AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690352 | Peter Rolf Holt | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2005-06-21 |
| 1396344867 | Joseph Jean Elias | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-25 |
| 1174122568 | Juliana G. Arantes I | Physical Therapist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-18 |
| 1457958597 | Keerthana Haridas | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-01 |
| 1487268983 | Keivonna Nyarko | Nurse Practitioner | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-09-02 |
| 1457961161 | Gizelle Elena Perez | Nurse Practitioner | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-08-06 |
| 1609484641 | Minh Quan Vu | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-07-15 |
| 1497370936 | Ami Shah | Pharmacist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-06-10 |
| 1598388464 | Conor W Buckley | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-05-26 |
| 1639792799 | Javier Joseph Zulueta | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1962045104 | Wjb Anesthesia Services Pllc | Anesthesiology | 138 E 80th St, New York, NY 10075-0306 | 2019-10-21 |
| 1912469172 | Alex Yu | Anesthesiology | 1468 Madison Ave # 8f, New York, NY 10029-6508 | 2019-04-04 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1710340815 | Robert Toha | Anesthesiology | Winston Building, 1000 Tenth Avenue, New York, NY 10019-1001 | 2016-04-05 |
| 1437511532 | Jonathan Danquah | Anesthesiology | 326 W 4th St, New York, NY 10014-1930 | 2016-03-28 |
| 1669834180 | Cory Weston Helder | Anesthesiology | 106 W 69th St Apt 8b, New York, NY 10023-5125 | 2016-03-23 |
| 1548648504 | Esther Ogunyemi | Anesthesiology | 800 2nd Ave Fl 7, New York, NY 10017-9224 | 2015-05-11 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| 1427444306 | Ronak S Shah | Anesthesiology | 1 Gustave L Levy Pl Fl 8, New York, NY 10029 | 2015-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.