Gericalls LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R086637 Issued in MD

Legal business name

GERICALLS LLC

Practice address

3250 Starting Gate CT
Woodbine, MD 21797-7937

Phone

(443) 271-0688

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Ellen R Farrell, CRNP

Title

Owner

Phone

(443) 271-0688

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1649301292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 STARTING GATE CT",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217977937",
            "telephone_number": "443-271-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 STARTING GATE CT",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217977937",
            "telephone_number": "443-271-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERICALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-271-0688",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R086637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404250600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Taylor Cottrell, PT, DPT
• Cecil Bernard Cunigan, LGPC
• Family Medical Associates, LLC
• Michael Joseph Finnan, MD
• Audrey Mackenzie Foley, PT, DPT
• Yodit Kafel Haileab, RN
• William John Hammerash Jr., M.D.
• Jonathan Michael Harned, DPT
• Jessica M Harrison
• Helena Wang Bobola, OD, LLC (Woodbine Eye Care)

• Gerontology Nurse Practitioner in Woodbine, MD
• Providers in Woodbine, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.