SCOTT W GERRY (NPI# 1760487441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760487441 |
| Entity Type | Individual |
| Full Name | SCOTT W GERRY |
| Credential | D. P. M. |
| Practice Address |
1065 Main St Sanford ME 04073-3632 |
| Mailing Address |
Po Box 736 Springvale ME 04083-0736 |
| Practice Telephone | 2074902322 |
| Practice Fax Number | 2073249355 |
| Mailing Telephone | 2074323842 |
| Mailing Fax Number | 2078541516 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | POD190 | ME | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1842 | MA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0193 | NH | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD 190 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 037709 | 01 |
| ME | TRICARE | E002988 | 01 |
| ME | NPI # | 1760487441 | 01 |
| ME | UNITED HEALTHCARE | 2704007 | 01 |
| NH | 30003216 | 05 | |
| NH | ANTHEM | 03Y005316ME01 | 01 |
| ME | GROUP NPI # | 1942309737 | 01 |
| ME | 195460000 | 05 | |
| ME | CIGNA | 22122 | 01 |
| ME | HARVARD PILGRIM | MGH549 | 01 |
| MA | 0362182 | 05 | |
| ME | TAX ID# | 043364985 | 01 |
| ME | AETNA | 2292640 | 01 |
| VA | 620707 | 620707 | 01 |
| Street Address |
1065 MAIN ST |
| City | SANFORD |
| State | ME |
| Zip Code | 04073-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
| 1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
| 1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
| Find all providers in zip 04073 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942371919 | Eberhardt Foot & Ankle Clinic | Podiatrist | 111 Dennis Dr Ste 123, Sanford, NC 27330-6461 | 2006-11-13 |
| 1730267113 | Kevin Neal Eberhardt | Podiatrist | 111 Dennis Dr., Ste 123, Sanford, NC 27330-6461 | 2006-11-01 |
| 1699171868 | Premier Foot & Ankle Pllc | Podiatrist | 152 S Moore St, Sanford, NC 27330-4224 | 2014-11-14 |
| 1659661403 | Elene Papakostas | Podiatrist | 152 S Moore St, Sanford, NC 27330-4224 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532504 | Foot and Ankle of Augusta Pa | Podiatrist | 3 Saint Catherine St, Augusta, ME 04330-5732 | 2019-01-14 |
| 1861857807 | Acadia Foot & Ankle, Pa | Podiatrist | 33 Penn Plz Ste A, Bangor, ME 04401-3619 | 2015-12-17 |
| 1568881498 | Samuel M Hall | Podiatrist | 4 Glen Cove Dr Ste 205, Rockport, ME 04856-4237 | 2014-04-08 |
| 1750703849 | Steven Farina | Podiatrist | 163 Van Buren Rd., Caribou, ME 04736-4006 | 2014-01-09 |
| 1689854382 | Kenneth D Warren Jr. | Podiatrist | 2 Berry Ct, Kennebunk, ME 04043-6812 | 2007-11-09 |
| 1508950155 | Olivia Newton | Podiatrist | 5 Abby Rd, Windham, ME 04062-5513 | 2006-10-03 |
| 1437265535 | David Joseph Micca | Podiatrist | 4 Morning Walk Ln, Kennebunk, ME 04043-7786 | 2006-08-22 |
| 1538149471 | Christopher Gerard Pingitore | Podiatrist | 51 Sewall St Ste 2, Portland, ME 04102-2644 | 2006-01-18 |
| 1194705038 | John Henry Dorsey Jr. | Podiatrist | 195 Fore River Parkway, Suite 120, Portland, ME 04102 | 2006-01-18 |
| 1568448272 | Barry M White | Podiatrist | 45 Forest Falls Dr, Yarmouth, ME 04096-6999 | 2005-12-15 |
| Find all providers with the same taxonomy | ||||
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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.