Gerald A Dysert, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

34177 Issued in KY

Practice address

23 Willow Dr
Auxier, KY 41602-9259

Phone

(606) 886-8997

Fax

(606) 886-1021

NPI assigned

Sep 20, 2006

Last updated

Jun 13, 2012By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: dysert.gerald.001.0170011@bshc.meditab.direct-ci.com

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1952408346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "address_2": "SUITE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WILLOW DR",
            "city": "AUXIER",
            "state": "KY",
            "postal_code": "416029259",
            "telephone_number": "606-886-8997",
            "fax_number": "606-886-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSERT",
        "first_name": "GERALD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "34177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34177",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64341779",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "000000044263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Big Sandy Health Care Inc (Physicians for Women)
• Big Sandy Pharmacy
• Anita Blankenship, LCSW
• Robert Ben Burgett, D.O.
• Leslieann Danielle Dotson, D.O.
• Angela Suzanne Fitch, APRN, NP-C
• Sammie S. Gibson, D.O.
• Larry Milford Leslie, MD
• Laura Redden, CNM
• Dana Marie Scott-Finley, D.O.

• Obstetrics & Gynecology Physician in Auxier, KY
• Providers in Auxier, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.