Danilo J Gervacio, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

17603 Issued in WV

Practice address

94 Old Mill Rd
Martinsburg, WV 25401-9284

Phone

(304) 264-8933

Fax

(304) 264-8846

NPI assigned

Mar 28, 2006

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

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.

• City Hospital Inc

  dba City Hospital Anesthesia Department

  • Anesthesiology Physician
  • Martinsburg, WV
  • NPI 1942503164
  NPD (past)
• Eastern Panhandle Anesthesia Associates

  • Pain Medicine (Anesthesiology) Physician
  • Martinsburg, WV
  • NPI 1902866882
  NPD (past)
• Wvuh-East Services, Inc

  dba Martinsburg Anesthesia

  • Anesthesiology Physician
  • Martinsburg, WV
  • NPI 1659563104
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1265492631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 OLD MILL RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019284",
            "telephone_number": "304-264-8933",
            "fax_number": "304-264-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD MILL RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019284",
            "telephone_number": "304-264-8933",
            "fax_number": "304-264-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVACIO",
        "first_name": "DANILO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WV",
            "license": "17603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060520000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailee Gelvin
• Geoffry Genna, PHARMD
• Genoa Healthcare LLC
• John Felix Genovese, D.C.
• Angella Beth Gentry
• Kendra Gerver
• Jamie Gervickas
• Joy Gesford, RN
• Pamela Kay Gesford, BSN,RN,CDE
• Tina Renee Gesford

• Pain Medicine (Anesthesiology) Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Pain Medicine (Anesthesiology) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.