Individual provider Active NPI

Irene Gerschenson, CAC II

  • Health Maintenance Organization
  • Denver, CO
National Provider Identifier
1073820296
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
ACB 7167 Issued in CO
Practice address
7476 E Arkansas Ave Apt 3909
Denver, CO 80231-2549
Phone
(720) 748-0370
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X ACB 7167 CO Primary

Addresses

Primary practice location

7476 E Arkansas Ave Apt 3909
Denver, CO 80231-2549

Mailing address

7476 E Arkansas Ave Apt 3909
Denver, CO 80231-2549
Phone (720) 748-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACB 7167COMDHealth Maintenance Organization

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1073820296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7476 E ARKANSAS AVE APT 3909",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312549",
            "telephone_number": "720-748-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7476 E ARKANSAS AVE APT 3909",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312549",
            "telephone_number": "720-748-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSCHENSON",
        "first_name": "IRENE",
        "name_prefix": "Miss",
        "credential": "CAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "ACB 7167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.