Provider Demographics
NPI:1528023249
Name:GERHARD, JENNIFER MARY LEE (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARY LEE
Last Name:GERHARD
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:MARY
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, MPH
Mailing Address - Street 1:50 F ST NW STE 3300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1565
Mailing Address - Country:US
Mailing Address - Phone:022-244-8300
Mailing Address - Fax:202-244-1413
Practice Address - Street 1:50 F ST NW STE 3300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1565
Practice Address - Country:US
Practice Address - Phone:202-244-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201793207Q00000X, 207QH0002X
DCDO034517207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA018138F32Medicare ID - Type Unspecified
AZHSZ078Medicare PIN
I43389Medicare UPIN