DR. Johnny Lee Gerardot JR. MD

  • NPI 1336673037
According to our database, the NPI number for DR. Johnny Lee Gerardot JR. MD is 1336673037 and activated since 7 years ago. DR. Johnny Lee Gerardot JR. MD is an individual provider who specializes in Family Medicine, and the primary practice location is 6913 N Main St Ste 300, Granger, IN 46530. You can also contact DR. Johnny Lee Gerardot JR. MD via telephone number is (574) 647-1500. Provider NPI information was last updated on 03/30/2021.

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Overview of DR. Johnny Lee Gerardot JR. MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/19/2017
  • Last updated: 03/30/2021

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 01084004A
  • License State: IN

Provider Mailing Address

  • Address: 710 N Niles Ave
    South Bend, IN 46617
  • Phone: 574-647-1610
  • Fax: 574-237-6069

Provider Practice Location

  • Address: 6913 N Main St Ste 300
    Granger, IN 46530
  • Phone: 574-647-1500
  • Fax: 574-647-2567

Scope of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Johnny Lee Gerardot JR. MD?
  • A: The npi number for DR. Johnny Lee Gerardot JR. MD is 1336673037.
  • Q: What are DR. Johnny Lee Gerardot JR. MD's specialties?
  • A: DR. Johnny Lee Gerardot JR. MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for DR. Johnny Lee Gerardot JR. MD?
  • A: The medical license number for DR. Johnny Lee Gerardot JR. MD is 01084004A and issued in IN in USA.
  • Q: Where is DR. Johnny Lee Gerardot JR. MD practice location?
  • A: DR. Johnny Lee Gerardot JR. MD is practicing at 6913 N Main St Ste 300, Granger, IN 46530.
  • Q: How to contact DR. Johnny Lee Gerardot JR. MD?
  • A: You can contact DR. Johnny Lee Gerardot JR. MD via 574-647-1500.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Sports Physician
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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