Provider Demographics
NPI:1922254937
Name:GERDS, AARON T (MD, MS)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:T
Last Name:GERDS
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE R35
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195
Mailing Address - Country:US
Mailing Address - Phone:216-445-9840
Mailing Address - Fax:216-444-9464
Practice Address - Street 1:9500 EUCLID AVE R35
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195
Practice Address - Country:US
Practice Address - Phone:216-445-9840
Practice Address - Fax:216-444-9464
Is Sole Proprietor?:No
Enumeration Date:2008-08-09
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60138577207RH0003X
OH35.121226207RH0003X
OH35-121226-S207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0086490Medicaid
OH0086490Medicaid