Gerald D Verdi DDS MD PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

16645 Issued in KY

Legal business name

GERALD D VERDI DDS MD PLLC

Practice address

4121 Dutchmans LN
Ste 311
Louisville, KY 40207-4707

Phone

(502) 895-5555

Fax

(502) 895-5550

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Gerald D Verdi, DDS MD

Title

Owner / Physician

Phone

(502) 895-5555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275519704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 DUTCHMANS LN",
            "address_2": "STE 311",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-895-5555",
            "fax_number": "502-895-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 DUTCHMANS LN",
            "address_2": "STE 311",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-895-5555",
            "fax_number": "502-895-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD D VERDI DDS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERDI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "502-895-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "16645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACETS",
            "identifier": "000000218137",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Michael Gerace
• Kali Svarczkopf Gerace, M.D.
• Tanya S Geraci, APRN
• Jenna Geraghty-Smith
• Challen Geraghty, AUD
• Gerald's Way Inc
• Gavin Geralds, PA
• Justin Thomas Geralds, M.D.
• Robert R Gerard, D.O.
• Gerardo Ulfe (Achilles Foot & Ankle Center)

• Plastic and Reconstructive Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Plastic and Reconstructive Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.