Gemini Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35083660 Issued in OH

Legal business name

GEMINI MEDICAL LLC

Practice address

2001 Crocker Rd
Suite 540
Westlake, OH 44145-6966

Phone

(440) 835-0563

Fax

(440) 835-8434

NPI assigned

Nov 7, 2007

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sherri Lynn Carney, M.D.NPI 1164413050

Title

Owner

Phone

(440) 835-0563

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherri Lynn Carney, M.D.

  • Internal Medicine Physician
  • Westlake, OH
  • NPI 1164413050
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1083894000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD",
            "address_2": "SUITE 540",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456966",
            "telephone_number": "440-835-0563",
            "fax_number": "440-835-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CROCKER RD",
            "address_2": "SUITE 540",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456966",
            "telephone_number": "440-835-0563",
            "fax_number": "440-835-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-835-0563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35083660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2456533",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Gaydosh, APRN-CNP
• Erin Marie Gee, LSW
• Nichole Geibel, LISW
• Catherine Marie Geletka, MA-LPC
• Gem Community Services, LLC (Homewatch CareGivers of Westlake)
• Mary Genco, MED, BCBA
• George K. Mathew, M.D., Inc.
• George Peter Parras MD Inc
• John Parker Gerace, MD
• Maria Christina Gerace, PA-C

• Internal Medicine Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.