Individual provider Active NPI

William Rollin Gerchick, D.O.

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1417227331
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1025 Issued in AZ
Practice address
6302 E Hillview St
Mesa, AZ 85205-4543
Phone
(480) 832-4354
Fax
(480) 832-3854
NPI assigned
Jan 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1025 AZ Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 1025 AZ

Addresses

Primary practice location

6302 E Hillview St
Mesa, AZ 85205-4543

Mailing address

6302 E Hillview St
Mesa, AZ 85205-4543
Phone (480) 832-4354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1025AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1417227331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 E HILLVIEW ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054543",
            "telephone_number": "480-832-4354",
            "fax_number": "480-832-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 E HILLVIEW ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054543",
            "telephone_number": "480-832-4354",
            "fax_number": "480-832-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERCHICK",
        "first_name": "WILLIAM",
        "middle_name": "ROLLIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1025",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "1025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.