Active NPI
Jeffrey Todd Gerton, MD
- Emergency Medicine Physician
- Kealakekua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD - 16402
- Practice address
- 79-1019 Haukapila St
Emergency Department
Kealakekua, HI 96750-7920 - Phone
- (808) 322-4413
- NPI assigned
- Feb 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D69032 | MD | |
| Emergency Medicine Physician | 207P00000X | MD - 16402 | HI | Primary |
Addresses
Primary practice location
79-1019 Haukapila St
Emergency Department
Kealakekua, HI 96750-7920
Mailing address
79-1019 Haukapila St
Emergency Department
Kealakekua, HI 96750-7920
Phone (808) 322-4413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14815 Pacific Ave S
Tacoma, WA 98444-4654
Phone (253) 697-8660
401 15TH Ave SE
Puyallup, WA 98372-3715
Phone (253) 697-1848
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD - 16402 | HI | MD | Emergency Medicine Physician |
| D69032 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt. Rainier Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Upper Chesapeake Emergency Medicine Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
401 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1848
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Puyallup, WA
- NPI 1538104476
-
- Emergency Medicine Physician
- Parkland, WA
- NPI 1801352505
-
- Emergency Medicine Physician
- Bel Air, MD
- NPI 1285854026
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1689719494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79-1019 HAUKAPILA ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967507920",
"telephone_number": "808-322-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79-1019 HAUKAPILA ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967507920",
"telephone_number": "808-322-4413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTON",
"first_name": "JEFFREY",
"middle_name": "TODD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D69032",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "MD - 16402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kealakekua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.