Provider Demographics
NPI:1093929879
Name:GERKE, CARA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:
Last Name:GERKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:MCCARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4622 MANOR PARK DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8465
Mailing Address - Country:US
Mailing Address - Phone:602-686-0004
Mailing Address - Fax:
Practice Address - Street 1:1650 4TH ST SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4717
Practice Address - Country:US
Practice Address - Phone:507-529-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ77173207R00000X
NY293955207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z148862Medicare PIN
AZZ141530Medicare PIN
Z140623Medicare PIN