Theodore L. Gerstle, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

47125 Issued in KY

Practice address

3363 Tates Creek Rd Ste 209
Lexington, KY 40502

Phone

(859) 279-2111

NPI assigned

Mar 25, 2008

Last updated

Jul 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Jul 30, 2015 through Jul 30, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1144492638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 TATES CREEK RD STE 209",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023459",
            "telephone_number": "859-279-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 TATES CREEK RD STE 209",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-279-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Nicholasville Rd",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40503",
            "country_code": "US",
            "telephone_number": "859-279-2111",
            "fax_number": "859-899-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSTLE",
        "first_name": "THEODORE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KY",
            "license": "47125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Connealy German, PHARMD
• James Ethan Gerrald, PHARMD
• Miranda Elaine Gerrard, MD
• Samuel Mitchell Gerring, M.S.
• Kenneth L Gerson, MD
• Kari Gerth
• Kimaletta Gerton
• Turqoise Gerton
• Joan H Gertz, PT
• Teresa Gay Gevedon, MD

• Plastic Surgery Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Plastic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.