Active NPI
Mark David Gernerd, MD
- Emergency Medicine Physician
- Ashland, PA
National Provider Identifier
1649339383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD020620E
- Practice address
- 101 Broad Street
Saint Catherine Medical Center Fountain Springs
Ashland, PA 17921 - Phone
- (570) 875-5850
- NPI assigned
- Dec 8, 2006
- Last updated
- Feb 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD020620E | PA | Primary |
Addresses
Primary practice location
101 Broad Street
Saint Catherine Medical Center Fountain Springs
Ashland, PA 17921
Mailing address
PO Box 534
1506 Valley View Dr
Gwynedd Valley, PA 19437-0534
Phone (215) 699-3943
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 597586 | Other | PA | TPI GROUP MEDICARE PTAN |
| CD4829 | Other | PA | TPI GROUP RAILROAD MEDICARE |
| 1007278000 | Other | PA | TPI GROUP MEDICAID ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1649339383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 534",
"address_2": "1506 VALLEY VIEW DR",
"city": "GWYNEDD VALLEY",
"state": "PA",
"postal_code": "194370534",
"telephone_number": "215-699-3943",
"fax_number": "215-699-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BROAD STREET",
"address_2": "SAINT CATHERINE MEDICAL CENTER FOUNTAIN SPRINGS",
"city": "ASHLAND",
"state": "PA",
"postal_code": "17921",
"telephone_number": "570-875-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERNERD",
"first_name": "MARK",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD020620E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI GROUP MEDICARE PTAN",
"identifier": "597586",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI GROUP RAILROAD MEDICARE",
"identifier": "CD4829",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI GROUP MEDICAID ID",
"identifier": "1007278000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.