Active NPI
David B Gerson, DO
- Family Medicine Physician
- Sherwood, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E3779
- Practice address
- 1308 E Kiehl Ave
Sherwood, AR 72120-3040 - Phone
- (501) 835-0703
- Fax
- (501) 834-6249
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E3779 | AR | Primary |
Addresses
Primary practice location
1308 E Kiehl Ave
Sherwood, AR 72120-3040
Mailing address
11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316
Phone (501) 812-7800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36509868 | Medicaid | CO | |
| 150121003 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1308 E Kiehl Ave
Sherwood, AR 72120-3040
Phone (501) 835-0703
Hospital & facility affiliations
- Baptist Health Home Health-LR
- Baptist Health Medical Center-Little Rock
- Baptist Health Medical Center North Little Rock
- Baptist Health Rehabilitation Institute
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3779 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Family Medicine | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients | |
| Healthone Clinic Services - Primary Care LLC | Family Medicine | Past | Accepting new patients |
| Arkansas Health Group | Family Medicine | Past | Accepting new patients |
Locations
205 Westport Dr
Ste 1
Cabot, AR 72023
Phone (501) 843-6585
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
1308 E Kiehl Ave
Sherwood, AR 72120
Phone (501) 835-0703
Interoperability endpoints
- dgerson2965@direct.baptist-healthar.org
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.
-
- Family Medicine Physician
- Sherwood, AR
- NPI 1649219577
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Family Medicine Physician
- White Hall, AR
- NPI 1316286149
-
- Family Medicine Physician
- Denver, CO
- NPI 1518141761
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
- Home Health Agency
- Little Rock, AR
- NPI 1134225451
-
- Rehabilitation Hospital
- Little Rock, AR
- NPI 1215967831
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1497790042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1992765010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR",
"address_2": "SUITE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114316",
"telephone_number": "501-812-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 E KIEHL AVE",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203040",
"telephone_number": "501-835-0703",
"fax_number": "501-834-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSON",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E3779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36509868",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150121003",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.