DR. GERALD LELAND FERRIS M.D. NPI 1417999103

NPI Information

NPI: 1417999103
Provider Name: DR. GERALD LELAND FERRIS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
12033 AGENCY RD
PARKER, AZ
ZIP 85344
Phone: (928) 669-2137
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DR. Gerald Leland Ferris, M.D. is a family medicine in Parker, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gerald Leland Ferris, M.D. NPI is 1417999103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12033 AGENCY RD
PARKER, AZ
ZIP 85344-718
Phone: (928) 669-2137
Fax: (928) 669-3366

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		21308	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H46880	MEDICARE UPIN
2	8HZ23Q	MEDICARE ID-TYPE UNSPECIFIED		SUPAI HEALTH CLINIC
3	HSZ136	MEDICARE PIN	ARIZONA
4	HSZ134	OTHER	ARIZONA	MEDICARE PART B PARKER
5	8HZ13Q	MEDICARE ID-TYPE UNSPECIFIED		PARKER INDIAN HEALTH CENT
6	8HZ43Q	MEDICARE ID-TYPE UNSPECIFIED		PEACH SPRINGS CLINIC
7	403923	MEDICAID	ARIZONA
8	031307	MEDICARE OSCAR/CERTIFICATION	ARIZONA
9	8HL552	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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