Individual
SCOTT W GERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. P. M.
Contact information
Practice address
21 WHITEHALL RD STE 302, ROCHESTER, NH 03867-3236
(603) 994-7633
(603) 994-7648
Mailing address
PO BOX 736, SPRINGVALE, ME 04083-0736
(603) 994-7633
(603) 994-7648
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD190
ME
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0193
NH
213ES0103X
Foot & Ankle Surgery Podiatrist
1842
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD 190
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362182
—
MA
01
—
037709
ANTHEM
ME
01
—
03Y005316ME01
ANTHEM
NH
01
—
043364985
TAX ID#
ME
01
—
1760487441
NPI #
ME
01
—
1942309737
GROUP NPI #
ME
05
—
195460000
—
ME
01
—
22122
CIGNA
ME
01
—
2292640
AETNA
ME
01
—
2704007
UNITED HEALTHCARE
ME
05
—
30003216
—
NH
01
—
620707
620707
VA
01
—
E002988
TRICARE
ME
01
—
MGH549
HARVARD PILGRIM
ME
Enumeration date
06/17/2005
Last updated
03/09/2022
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