Organization Active NPI

Paul Gerrard

  • Physical Medicine & Rehabilitation Physician
  • Portland, ME
National Provider Identifier
1235558768
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD20073 Issued in ME
Legal business name
PAUL GERRARD
Practice address
335 Brighton Ave Ste 201
New England Rehabilitation Hospital
Portland, ME 04102-2365
Phone
(803) 292-8602
NPI assigned
Apr 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Paul B Gerrard, MD
Title
Ceo
Phone
(803) 292-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X MD20073 ME Primary

Addresses

Primary practice location

335 Brighton Ave Ste 201
New England Rehabilitation Hospital
Portland, ME 04102-2365

Mailing address

110 Marginal Way # 706
Portland, ME 04101-2442
Phone (803) 292-8602

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1235558768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARGINAL WAY # 706",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012442",
            "telephone_number": "803-292-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BRIGHTON AVE STE 201",
            "address_2": "NEW ENGLAND REHABILITATION HOSPITAL",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022365",
            "telephone_number": "803-292-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL GERRARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "GERRARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-292-8602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ME",
            "license": "MD20073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.