Provider Demographics
NPI:1013993161
Name:GERGER, ROBERT H (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:GERGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-2433
Mailing Address - Country:US
Mailing Address - Phone:724-527-6424
Mailing Address - Fax:724-527-3010
Practice Address - Street 1:607 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-2433
Practice Address - Country:US
Practice Address - Phone:724-527-6424
Practice Address - Fax:724-527-0782
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009996L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
050321Medicare ID - Type Unspecified
H46164Medicare UPIN