Organization Active NPI

Carla B Gerstenberg DPM

  • Podiatrist
  • Aiken, SC
National Provider Identifier
1811167059
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CARLA B GERSTENBERG DPM
Practice address
598 Silver Bluff Rd
Suite 2
Aiken, SC 29803-6012
Phone
(803) 649-2934
Fax
(803) 649-2902
NPI assigned
Mar 4, 2008
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Ms. Donna L Lane
Title
Billing Coding Specialist
Phone
(803) 649-2934

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X
Podiatrist 213E00000X Primary

Addresses

Primary practice location

598 Silver Bluff Rd
Suite 2
Aiken, SC 29803-6012

Mailing address

598 Silver Bluff Rd
Suite 2
Aiken, SC 29803-6012
Phone (803) 649-2934

Other identifiers 1

IdentifierTypeStateIssuer
DE1511MedicaidSC

National Provider Directory

National Provider Directory

Locations

598 Silver Bluff Rd
#2
Aiken, SC 29803
Phone (803) 649-2934

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1811167059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 SILVER BLUFF RD",
            "address_2": "SUITE 2",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036012",
            "telephone_number": "803-649-2934",
            "fax_number": "803-649-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 SILVER BLUFF RD",
            "address_2": "SUITE 2",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036012",
            "telephone_number": "803-649-2934",
            "fax_number": "803-649-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA B GERSTENBERG DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING CODING SPECIALIST",
        "authorized_official_telephone_number": "803-649-2934",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1511",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.