A DAVID GERSTEIN MD PC NPI 1023297140

Specialist in Indianapolis, IN

NPI 1023297140 Organization Specialist CLIA Number 15D0354794 CLIA Certificate of Compliance

About A DAVID GERSTEIN MD PC

A David Gerstein Md Pc is a provider established in Indianapolis, Indiana specializing in specialist. The NPI number of A David Gerstein Md Pc is 1023297140 and was assigned on October 2007. The practitioner's primary taxonomy code is 174400000X with license number 01046501 (IN). The provider is registered as an organization and their NPI record was last updated 14 years ago. A David Gerstein Md Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Aaron David Gerstein M.d. (Physician)

The CLIA number of A David Gerstein Md Pc is 15D0354794 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to A David Gerstein Md Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1023297140

Provider NameA DAVID GERSTEIN MD PC
Provider Location Address8801 N MERIDIAN ST STE 107 INDIANAPOLIS, IN 46260
Provider Mailing Address8801 N MERIDIAN ST STE 107 INDIANAPOLIS, IN 46260
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-25-2007
Last Update Date10-25-2007


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.01046501
License StateIN
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

A DAVID GERSTEIN MD PC
8801 N MERIDIAN ST
STE 107
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 848-3408
Fax: (317) 843-2242

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Mailing Address

A DAVID GERSTEIN MD PC
8801 N MERIDIAN ST
STE 107
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 848-3408
Fax: (317) 843-2242



Authorized Official

Authorized Official NameDR. AARON DAVID GERSTEIN M.D.
Authorized Official TitlePHYSICIAN
Authorized Official Phone(317) 848-3408

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1023297140 is:

CLIA Number15D0354794
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G48900MEDICARE UPIN (02)IN

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164428660DR. DAVID GERSTEIN M.D.
Individual
Dermatology8801 N MERIDIAN ST STE 107
INDIANAPOLIS, IN 46260
(317) 848-3408
1811977044DR. THERESA M BAYT MD
Individual
Family Medicine8801 N MERIDIAN ST 207
INDIANAPOLIS, IN 46260
(317) 848-2427
1225078876DR. CAROL G. MCKOWN M.S., D.D.S., P.C.
Individual
Dentist (Pediatric Dentistry)8801 N MERIDIAN ST SUITE 313
INDIANAPOLIS, IN 46260
(317) 846-3496
1164525333 ROGER R LENKE MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)8801 N MERIDIAN ST SUITE #209
INDIANAPOLIS, IN 46260
(317) 846-6775
1306947304DR. WILLIAM B. CARR
Individual
Dentist (General Practice)8801 N MERIDIAN ST SUITE 309
INDIANAPOLIS, IN 46260
(317) 844-8085
1255420600DR. MICHAEL DOUGLAS EDWARDS DDS,MSD
Individual
Dentist (Periodontics)8801 N MERIDIAN ST SUITE 103
INDIANAPOLIS, IN 46260
(317) 574-0600
1154798270UNIQUEMD
Organization
Clinic/Center (Primary Care)8801 N MERIDIAN ST SUITE 305
INDIANAPOLIS, IN 46260
(317) 863-5665
1750739439 AMANDA K ROSINKO AUD
Individual
Audiologist8801 N MERIDIAN ST 210
INDIANAPOLIS, IN 46260
(317) 844-8127
1346574647DENTAL PROFESSIONALS OF INDIANA, P.C.
Organization
Dentist (General Practice)8801 N MERIDIAN ST SUITE 300
INDIANAPOLIS, IN 46260
(317) 575-6100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.