Active NPI
Adam Scott Gerry, DO
- Student in an Organized Health Care Education/Training Program
- Glendale, AZ
National Provider Identifier
1295588473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 18701 N 67TH Ave
Glendale, AZ 85308-7100 - Phone
- (623) 561-1000
- NPI assigned
- Apr 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
18701 N 67TH Ave
Glendale, AZ 85308-7100
Mailing address
9450 N 95TH St Unit 203
Scottsdale, AZ 85258-5195
Phone (480) 209-4467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1295588473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 N 95TH ST UNIT 203",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585195",
"telephone_number": "480-209-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18701 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087100",
"telephone_number": "623-561-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERRY",
"first_name": "ADAM",
"middle_name": "SCOTT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
- Julie Ann Gerhart
- German Dobson CVS LLC (CVS Pharmacy #16700)
- German Dobson CVS LLC (CVS Pharmacy #17406)
- German Dobson CVS, L.L.C.
- German Dobson CVS, L.L.C. (CVS Pharmacy #00017)
- Cherri E Gettis, MSN, FNP
- Bradley Gettleman, DDS MS
- Daniel Getz, MAC, LAC
- Heather Geyman, FNP
- Vano Ghaderi Masihi, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.