Jason Gerhard, RSS

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

620 W Grand Ave
Ponca City, OK 74601-5123

Phone

(580) 762-1462

Fax

(581) 765-7299

NPI assigned

Aug 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bridgeway

  • Case Manager/Care Coordinator
  • Ponca City, OK
  • NPI 1770921512
  NPD (past)
• Bridgeway, Inc.

  • Substance Abuse Rehabilitation Facility
  • Ponca City, OK
  • NPI 1093930497
  NPD (past)

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1619707908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015123",
            "telephone_number": "580-762-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015123",
            "telephone_number": "580-762-1462",
            "fax_number": "581-765-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHARD",
        "first_name": "JASON",
        "credential": "RSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Gartside
• Gary a Dorman
• Stefan Jacob Gelven, DDS
• Kathy George
• Mary Elizabeth George
• Debra Elaine Gibson, LPC
• Heather Nichole Gibson
• Toni Kay Gibson, DPH
• Sandra D Gifford, R.D. L.D.
• Timothy Gilbert, MD

• All providers in Ponca City, OK
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.