Peter Paul Gerley, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME29631 Issued in FL

Practice address

4202 E Fowler Ave
SHS 100
Tampa, FL 33620-9951

Phone

(813) 974-2331

Fax

(813) 974-7181

NPI assigned

Jun 25, 2008

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Huntington Chiropractic & Wellness LLC

  • Chiropractor
  • Bowling Green, OH
  • NPI 1730347642
  NPD

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1629230362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 E FOWLER AVE",
            "address_2": "SHS 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336209951",
            "telephone_number": "813-974-2331",
            "fax_number": "813-974-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLEY",
        "first_name": "PETER",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME29631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53716",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000200000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Geric, D.M.D, M.S.
• Gericare, Inc.
• Gerimed 2000 LLC
• Ronald D Gerlach, CRNA
• Suzanne West Gerlach, ARNP
• David Jacob Germain, MD
• Patricia Sue Germain, OTR/L
• Sherletta Denice Germain
• Germaine Pharmacy Inc
• Carol Germana

• Otolaryngology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.