Provider Demographics
NPI:1114978251
Name:GERLING, MERI PAIGE (MD)
Entity Type:Individual
Prefix:
First Name:MERI
Middle Name:PAIGE
Last Name:GERLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 GOAT SPRINGS RD.
Mailing Address - Street 2:
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571
Mailing Address - Country:US
Mailing Address - Phone:575-758-4224
Mailing Address - Fax:575-751-5211
Practice Address - Street 1:1090 GOAT SPRINGS RD.
Practice Address - Street 2:
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571
Practice Address - Country:US
Practice Address - Phone:575-758-4224
Practice Address - Fax:575-751-5211
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM98-271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMK3543Medicaid
NM000T8244Medicaid
NMHSZ189OtherMEDICARE PART B
NMHSZ189OtherMEDICARE PART B
NM320057Medicare Oscar/Certification