Individual
DR. ELENA GERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1725 W MARKET ST, JOHNSON CITY, TN 37604-6020
(423) 431-1310
Mailing address
1725 W MARKET ST, JOHNSON CITY, TN 37604-6020
(423) 431-1310
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101251153
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
48798
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
55622
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I223230
MEDICARE
TN
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
Q003153
—
TN
Enumeration date
07/18/2008
Last updated
08/09/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us