DR. MARY ELIZABETH GERARD (NPI# 1578667739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578667739 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH GERARD |
| Credential | MD |
| Practice Address |
333 N 18th Ave Ste B4 Pocatello ID 83201 |
| Mailing Address |
333 N 18th Ave Ste B4 Pocatello ID 83201 |
| Practice Telephone | 2082322233 |
| Practice Fax Number | 2082322299 |
| Mailing Telephone | 2082322233 |
| Mailing Fax Number | 2082322299 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2016-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
M7059 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | 70599 | 01 |
| ID | BLUE SHIELD | 000010008867 | 01 |
| ID | 002119100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730549502 | Mary Elisabeth Gerard | Physician Assistant | 450 Brookline Ave, Boston, MA 02215-5418 | 2016-03-07 |
| 1255453270 | Mary Nicole Gerard | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2007-04-03 |
| Street Address |
333 N 18TH AVE STE B4 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952433971 | Idaho Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 333 N 18th Ave Ste B4, Pocatello, ID 83201-3322 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265670061 | M Elizabeth Gerard Md Pllc | Psychiatry & Neurology | 333 N 18th Ave, Ste B4, Pocatello, ID 83201 | 2009-02-02 |
| 1881754901 | Scott S Petty | Psychiatry & Neurology | 1777 E Clark St, Suite 330, Pocatello, ID 83201-3357 | 2006-12-11 |
| 1700807260 | Richard D Karem | Psychiatry & Neurology | 777 Hospital Way, Pocatello, ID 83201-5175 | 2006-07-21 |
| 1043219694 | Robert Michael Kennedy | Psychiatry & Neurology | 777 Hospital Way, G15, Pocatello, ID 83201-5175 | 2005-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508286188 | Nina Sienna Bozinov | Psychiatry & Neurology | 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814-4404 | 2014-04-22 |
| 1922449453 | Sarita Said Said | Psychiatry & Neurology | 2400 W A St, Moscow, ID 83843-4902 | 2013-07-12 |
| 1386903359 | Daniel B Simmons | Psychiatry & Neurology | 1072 N Liberty St Ste 303, Boise, ID 83704 | 2012-05-11 |
| 1053678342 | Daniel Clark Abenroth | Psychiatry & Neurology | 9th Floor -- Neurosciences, 190 E Bannock St., Boise, ID 83712-8905 | 2012-04-12 |
| 1427294545 | Thomas E Henson | Psychiatry & Neurology | 3183 S Temperance Way, Boise, ID 83706-5703 | 2008-12-18 |
| 1235381948 | Karin Lindholm, D.o. | Psychiatry & Neurology | 901 N Curtis Rd Ste 403, Boise, ID 83706-1342 | 2008-10-14 |
| 1548452683 | Sergei V Kashirny | Psychiatry & Neurology | 125 E Idaho St Ste 300, Neurology, Boise, ID 83712-6256 | 2007-08-13 |
| 1316090426 | Affiliated Neurologists Pllc | Psychiatry & Neurology | 338 6th St, Suite 102, Lewiston, ID 83501-2419 | 2007-01-19 |
| 1437252723 | Eastern Idaho Neurological Associates Pa | Psychiatry & Neurology | 2353 Coronado Drive, Idaho Falls, ID 83404 | 2006-09-05 |
| 1043249964 | Martha A Cline | Psychiatry & Neurology | 3875 E Overland Road, Meridian, ID 83642 | 2006-07-02 |
| Find all providers with the same taxonomy | ||||
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| 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.