Gerard M O'Desky, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101006101 Issued in MI

Practice address

11646 E Cavedale Dr
Scottsdale, AZ 85262-8010

Phone

(480) 515-1477

Fax

(480) 515-1477

NPI assigned

Jul 7, 2006

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

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Health Centers Detroit Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1518026541
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619900545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11646 E CAVEDALE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852628010",
            "telephone_number": "480-515-1477",
            "fax_number": "480-515-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11646 E CAVEDALE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852628010",
            "telephone_number": "480-515-1477",
            "fax_number": "480-515-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DESKY",
        "first_name": "GERARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101006101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deandra O'Connor, RNP
• Elizabeth M O'Connor, DO
• Madeline Joi O'Connor, MD
• Megan Eileen O'Connor, DPT
• Kenneth William O'Daniel, O.D.
• Rachel Mara O'Desky, PA-C
• Mark E O'Donnell, MD
• Ryan Daniel O'Donnell, DDS
• Kelsey Lynn O'Driscoll, CCC-SLP
• Kaycee O'Hara, PA

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.