M Elizabeth Gerard MD PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

M-7059 Issued in ID

Legal business name

M ELIZABETH GERARD MD PLLC

Practice address

333 N 18TH Ave
Ste B4
Pocatello, ID 83201

Phone

(208) 232-2233

Fax

(208) 232-2299

NPI assigned

Feb 2, 2009

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

M Elizabeth Gerard, M.D.

Title

Owner

Phone

(208) 233-8344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1265670061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "STE B4",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-232-2233",
            "fax_number": "208-232-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "STE B4",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-232-2233",
            "fax_number": "208-232-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ELIZABETH GERARD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-233-8344",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "M-7059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.