Gerardo R Princesa, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A101856 Issued in CA

Practice address

200 Hospital Dr
Spencer, WV 25276-1050

Phone

(304) 927-6844

Fax

(304) 927-6259

NPI assigned

May 4, 2006

Last updated

Sep 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comfort Anesthesia Associates IncGroup PAC ID 6002975489, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comfort Anesthesia Associates Inc

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1043466550
  Medicare reassignment Care Compare group NPD
• Dayton Osteopathic Hospital

  dba Grandview Hospital - Anesthesia

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1902097280
  NPD (past)
• Desert Anestheisa Medical Group

  • Specialist
  • Palm Springs, CA
  • NPI 1861448938
  NPD (past)
• Palm Springs Anesthesia Services, PC

  • Anesthesiology Physician
  • San Bernardino, CA
  • NPI 1083928501
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hanford Community Hospital

  dba Adventist Health Hanford

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1609824895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-6844",
            "fax_number": "304-927-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-6844",
            "fax_number": "304-927-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCESA",
        "first_name": "GERARDO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "21390",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A101856",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WV",
            "license": "21390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004963000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Nicole Perkins
• Tonia Perry
• Katrina Petroski
• Melody Pollitt
• Amanda Price
• Jamie Lynn Proctor
• Whitney Proctor
• Daniel B. Prudich, MD
• Psych Services Associates, Inc
• Psych Services of Roane County

• Anesthesiology Physician in Spencer, WV
• Providers in Spencer, WV by specialty
• Anesthesiology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.