Edward W Gerner, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD016049E Issued in PA

Practice address

4101 Tyson Ave
Philadelphia, PA 19135-1615

Phone

(215) 624-0500

NPI assigned

Jan 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Specialty

OphthalmologyAlso: Neurology

Education

New York University School of Medicine, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Tri-State Eye Assoc.

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1851446918
  Medicare reassignment Authorized official
• Cataract and Primary Eye Care Service, LP

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1417991720
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1154472165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LLANFAIR CIRCLE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "19003",
            "telephone_number": "610-642-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351615",
            "telephone_number": "215-624-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNER",
        "first_name": "EDWARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD016049E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0765059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Germantown Settlement Outpatient Wellness Counseling Center
• Kristian Kyle Germer
• John A Germiller, M.D.
• Matthew Germinaro
• Milady Germosen, MA
• Garrett Gerney
• Gabrielle Nichole Gerngross, LSW
• Edgy Mahalia Gernier, MD
• Teresa Marie Gero, PT, DPT
• Lindsay Gerringer, PT

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.
• 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.

Verify at the official NPI Registry.