Active NPI
Mark H Gersten, MD
- Emergency Medicine Physician
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35058857
- Practice address
- 3909 Orange PL
Ste 2100
Beachwood, OH 44122-4478 - Phone
- (216) 896-1800
- Fax
- (216) 896-1801
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35058857 | OH | Primary |
Addresses
Primary practice location
3909 Orange PL
Ste 2100
Beachwood, OH 44122-4478
Mailing address
20800 Harvard Rd
2ND FLR
Highland Hills, OH 44122-7251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0807569 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, VT, CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318480 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| Virtualcare Medical Group PA | Current | Accepting new patients | |
| Openloop Healthcare Partners New Jersey PC | Current | Accepting new patients | |
| University Primary Care Practices Inc. | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Mercy Medical Center
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Dental Clinic/Center
- Canton, OH
- NPI 1023362100
-
- General Practice Physician
- Jersey City, NJ
- NPI 1588335152
-
- Durable Medical Equipment & Medical Supplies
- Mentor, OH
- NPI 1053405217
-
dba Pacific Sports Medicine @ MultiCare
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1003929555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20800 HARVARD RD",
"address_2": "2ND FLR",
"city": "HIGHLAND HILLS",
"state": "OH",
"postal_code": "441227251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 ORANGE PL",
"address_2": "STE 2100",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224478",
"telephone_number": "216-896-1800",
"fax_number": "216-896-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSTEN",
"first_name": "MARK",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35058857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0807569",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.