Mark Gerold, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301073796 Issued in MI

Practice address

6402 Route 30
Jeannette, PA 15644-3168

Phone

(724) 523-5505

Fax

(724) 527-6416

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 3, 2019 through Jul 3, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mgerold@primaryandurgentcare.directbygreenway.com

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.

• Gerold Medical Wellness, PC

  • Chiropractor
  • Jeannette, PA
  • NPI 1134832546
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Munising Memorial Hospital Association

  • Family Medicine Physician
  • Autrain, MI
  • NPI 1205673241
  NPD (past)
• Munising Memorial Hospital Association

  • Family Medicine Physician
  • Munising, MI
  • NPI 1629120415
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1386745768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 ROUTE 30",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443168",
            "telephone_number": "724-523-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 ROUTE 30",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443168",
            "telephone_number": "724-523-5505",
            "fax_number": "724-527-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROLD",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301073796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4625154",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "080021729",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin P Gallagher, MD
• Gavin Matthew Gallaher, M.S., NCC
• Murty S Ganti, M.D
• Robert H Gerger, D.O.
• Gerold Medical Wellness, PC
• Giant Eagle, Inc
• Sarah Gobel
• Gods Helping Hands II
• Gods Helping Hands LLC
• Ashley Bethel Grominski, DPT

• Family Medicine Physician in Jeannette, PA
• Providers in Jeannette, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.