Active NPI
Paul E Gerard III, M.D.
- Family Medicine Physician
- Elizabethtown, KY
National Provider Identifier
1154327385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18096
- Practice address
- 100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975 - Phone
- (270) 769-5579
- Fax
- (270) 765-7975
- NPI assigned
- Jun 22, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18096 | KY | Primary |
Addresses
Primary practice location
100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975
Mailing address
100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975
Phone (270) 769-5579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64180961 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Gerard | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Elizabethtown, KY
- NPI 1053335737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154327385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HELMWOOD PLAZA DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012975",
"telephone_number": "270-769-5579",
"fax_number": "270-765-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HELMWOOD PLAZA DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012975",
"telephone_number": "270-769-5579",
"fax_number": "270-765-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "PAUL",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "18096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64180961",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.