Active NPI
Gerda Maissel, MD
- Physical Medicine & Rehabilitation Physician
- Florence, KY
National Provider Identifier
1518064534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- TP560
- Practice address
- 4900 Houston Rd
Florence, KY 41042-4824 - Phone
- (859) 212-7000
- Fax
- (859) 212-7010
- NPI assigned
- Sep 20, 2006
- Last updated
- Dec 31, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 80317 | MA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | TP560 | KY | Primary |
Addresses
Primary practice location
4900 Houston Rd
Florence, KY 41042-4824
Mailing address
2300 Chamber Center Dr
Suite 200
Lakeside Park, KY 41017-1686
Phone (859) 344-5555
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 |
|---|---|---|---|
| TP560 | KY | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1518064534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 CHAMBER CENTER DR",
"address_2": "SUITE 200",
"city": "LAKESIDE PARK",
"state": "KY",
"postal_code": "410171686",
"telephone_number": "859-344-5555",
"fax_number": "859-212-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 HOUSTON RD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410424824",
"telephone_number": "859-212-7000",
"fax_number": "859-212-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAISSEL",
"first_name": "GERDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "80317",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "TP560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.