Active NPI
Susan Gerhardt Andrews, M.D.
- Pulmonary Disease Physician
- Berlin, MD
National Provider Identifier
1295786184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D0067708
- Practice address
- 9733 Healthway Dr
Berlin, MD 21811-1155 - Phone
- (410) 641-9109
- Fax
- (410) 629-1203
- NPI assigned
- May 15, 2006
- Last updated
- Oct 1, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | D0067708 | MD | Primary |
Addresses
Primary practice location
9733 Healthway Dr
Berlin, MD 21811-1155
Mailing address
PO Box 62753
Baltimore, MD 21264-2753
Phone (410) 641-9450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013840870001 | Medicaid | PA |
Other names 1
- Susan Gail Gerhardt
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0067708 | MD | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Immedicare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Ocean City, MD
- NPI 1518199223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1295786184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62753",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212642753",
"telephone_number": "410-641-9450",
"fax_number": "410-641-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9733 HEALTHWAY DR",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111155",
"telephone_number": "410-641-9109",
"fax_number": "410-629-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "SUSAN",
"middle_name": "GERHARDT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D0067708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013840870001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "GERHARDT",
"middle_name": "GAIL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.