EDWIN S. GERRISH (NPI# 1063479517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063479517 |
| Entity Type | Individual |
| Full Name | EDWIN S. GERRISH |
| Credential | MD |
| Practice Address |
506 1st Ave Se Watertown SD 57201-4402 |
| Practice Telephone | 6058868482 |
| Practice Fax Number | 6058844300 |
| Mailing Telephone | 6058868482 |
| Mailing Fax Number | 6058844300 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2008-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 1392 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7300773 | 05 |
| Street Address |
506 1ST AVE SE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522732 | Brown Pharmacy LLC | Pharmacy | 506 1st Ave Se, Watertown, SD 57201-4402 | 2005-10-18 |
| 1831709369 | Heidi Maurine Barber | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-08-10 |
| 1497363113 | Allison Judeen Decurtins | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-07-20 |
| 1457903833 | Abby Lynne Simon | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4499 | 2019-07-15 |
| 1699327262 | Rachel Leiseth | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4499 | 2019-07-12 |
| 1336617604 | Jennifer Guest | Health Educator | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-05 |
| 1184192650 | Kristina R Boetel | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-02 |
| 1942775713 | Rebekah Ruth Storm | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-10-09 |
| 1205225661 | Abby M Gietzen | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4402 | 2015-01-22 |
| 1205230414 | Eric L. Woolley | Podiatrist | 506 1st Ave Se, Watertown, SD 57201 | 2014-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
| 1992097703 | Gregory Mark Gerrish | Surgery | 401 9th Ave. Nw, Prairie Lakes Hospital, Watertown, SD 57201-1623 | 2011-05-12 |
| 1578886933 | Daniel Adam Bryden | Surgery | 428 Washington St. Suite 1, Samaritan Medical Practice General Surgery, Watertown, NY 13601 | 2010-03-12 |
| 1619124724 | Walter A. Minaert, Md PC | Surgery | 21017 Nys Rte 12f, Watertown, NY 13601-1078 | 2008-08-20 |
| 1154472124 | Alvin Maloney, M.d. | Surgery | 428 Washington St Suite 1, Watertown, NY 13601 | 2007-01-16 |
| 1528150737 | North Country Physicians, Pllc | Surgery | 21017 Nys Rt 12f, Watertown, NY 13601-1078 | 2006-09-28 |
| 1699881573 | James Stillerman | Surgery | 165 Coleman Ave, Watertown, NY 13601-2217 | 2006-08-22 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| 1851328025 | Walter August Minaert Jr. | Surgery | 21017 State Route 12f, Watertown, NY 13601-1078 | 2006-06-26 |
| 1801834023 | Robert S Nierman | Surgery | 705 Mt. Auborn Street, Tufts Health Plan, Watertown, MA 02472 | 2006-06-02 |
| Find all providers in WATERTOWN | ||||
Please comment or provide details below to improve the information on EDWIN S. GERRISH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.