Provider Demographics
NPI:1386612968
Name:GERALD W. FERRY M.D. P.C.
Entity type:Organization
Organization Name:GERALD W. FERRY M.D. P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-678-2400
Mailing Address - Street 1:2209 QUARRY DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1153
Mailing Address - Country:US
Mailing Address - Phone:610-678-2400
Mailing Address - Fax:610-678-2074
Practice Address - Street 1:2209 QUARRY DR
Practice Address - Street 2:SUITE C30
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609-1155
Practice Address - Country:US
Practice Address - Phone:610-678-2400
Practice Address - Fax:610-678-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016743E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000473069OtherPA BLUE SHIELD
PA0019719000OtherPERSONAL CHOICE ID NUMBER
PA02337300OtherCAPITAL BLUE CROSS ID
PA232465097OtherCORESOURCE
PA232465097OtherWAUSAU BENFITS INC.
PA0019719000OtherAMERIHEALTH PROVIDER ID.
PA151653OtherKEYSTONE PROVIDER NUMBER
PA000473069OtherKEYSTONE EAST
PA232465097OtherFORTIS
PA232465097OtherBERKSHIRE HEALTH
PA232465097OtherHEALTHASSURANCE
PA232465097OtherLOOMIS COMPANY
PA2324650970006OtherCIGNA
PA0019719000OtherKEYSTONE EAST PROVIDER ID
PA0151653OtherKEYSTONE CENTRAL
PA0019719000OtherINDEPENDANCE BLUE SHIELD
PA147643OtherPA BLUE SHIELD
PA232465097OtherGREAT WEST INS. CO.
PA2324650970006OtherCIGNA
PAFE147643Medicare ID - Type Unspecified