Active NPI
Kenneth W Gerard, M.D.
- Anesthesiology Physician
- Gainesville, VA
National Provider Identifier
1336172154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME96504
- Practice address
- 7915 Lake Manassas Dr
Ste 302
Gainesville, VA 20155-3260 - Phone
- (571) 248-0653
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C1-0003259 | DE | |
| Anesthesiology Physician | 207L00000X | ME96504 | FL | Primary |
Addresses
Primary practice location
7915 Lake Manassas Dr
Ste 302
Gainesville, VA 20155-3260
Mailing address
11781 Lee Jackson Memorial Hwy
Ste 550
Fairfax, VA 22033-3309
Phone (571) 777-5106
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56538 | Other | FL | BCBSFL |
| 276470900 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0003259 | DE | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia Delaware LLC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Services PA | Anesthesiology | Past | Accepting new patients |
| Key West Anesthesia Associates PLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- New Castle, DE
- NPI 1053366377
-
- Anesthesiology Physician
- Key West, FL
- NPI 1891938221
-
- Anesthesiology Physician
- Wilmington, DE
- NPI 1639110406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1336172154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMORIAL HWY",
"address_2": "STE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333309",
"telephone_number": "571-777-5106",
"fax_number": "703-563-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 LAKE MANASSAS DR",
"address_2": "STE 302",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553260",
"telephone_number": "571-248-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "KENNETH",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DE",
"license": "C1-0003259",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME96504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "56538",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276470900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.