Myra Ann Gercken-Thurston

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

3712 Cardinal Blvd
Daytona Beach, FL 32118-7204

Phone

(386) 290-2911

NPI assigned

Feb 3, 2023

Last updated

Feb 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1548966294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 CARDINAL BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321187204",
            "telephone_number": "386-290-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 CARDINAL BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321187204",
            "telephone_number": "386-290-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERCKEN-THURSTON",
        "first_name": "MYRA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERVISOR OF ELECTIONS",
            "identifier": "108736147",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LIC",
            "identifier": "T62554763506-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Pharmacy Inc (George Pharmacy)
• George Varounis DPM
• Andrew William George, D.C.
• David George
• Annette Margaret Gerardi
• Haley Nicole-Anne Gessler
• Kimberly Gessner-Buckingham
• Jeffrey D. Geyer, P.T.
• Andrew George Giaconi, PA-C
• John William Gianini, MD

• Attendant Care Provider in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.