MRS. TAMMY MICHELLE GERDES PA-C NPI 1639273246

NPI Information

NPI: 1639273246
Provider Name: MRS. TAMMY MICHELLE GERDES, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1823 VT RTE 107
BETHEL, VT
ZIP 05032
Phone: (802) 234-9913
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MRS. Tammy Michelle Gerdes, PA-C is a medical physician assistant in Bethel, VT with 25 years of experience. MRS. Tammy Michelle Gerdes, PA-C NPI is 1639273246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1823 VT RTE 107
BETHEL, VT
ZIP 05032-107
Phone: (802) 234-9913
Fax: (802) 234-5507

The NPI 1639273246 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 6/1/2010.

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	363AM0700X	Physician Assistant	Medical	0550030954	VERMONT	No
2	363AM0700X	Physician Assistant	Medical	0550030955	VERMONT	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	0010134	OTHER	VERMONT	MEDICARE PTAN
2	9000412	MEDICAID	VERMONT

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: 5/5/2024

NPI Synchronization or Removal

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