Lowell Ian Gerber, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

017412 Issued in ME

Practice address

100 Spencer's Ridge Rd.
Freeport, ME 04032-7138

Phone

(207) 869-9010

Fax

(207) 869-9013

NPI assigned

Sep 22, 2005

Last updated

Nov 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2013 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freeport Cardiology, LLC

  • Cardiovascular Disease Physician
  • Freeport, ME
  • NPI 1679708168
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1114913456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BETTYS LN",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452517",
            "telephone_number": "207-497-2996",
            "fax_number": "877-203-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPENCER'S RIDGE RD.",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327138",
            "telephone_number": "207-869-9010",
            "fax_number": "207-869-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "LOWELL",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "017412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1114913456",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freeport Medical Center PA
• Freeport Nursing Home, Inc
• Freeport Physical Therapy, PA
• Freeport Place
• Ann E Fullagar
• Daniel S Gibbons, DO
• Hadley Gibson, LMSW-CC
• Jacey E Goddard, DO
• Meghan Kathleen Gorchoff, LCPC
• Sarah Grant, OT

• Cardiovascular Disease Physician in Freeport, ME
• Providers in Freeport, ME by specialty
• Cardiovascular Disease Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.