Provider Demographics
NPI:1770547150
Name:GERST, JAMES A (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:GERST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:494 HAMMERMILL DR
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8602
Mailing Address - Country:US
Mailing Address - Phone:314-607-9841
Mailing Address - Fax:636-939-9208
Practice Address - Street 1:494 HAMMERMILL DR
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-8602
Practice Address - Country:US
Practice Address - Phone:314-607-9841
Practice Address - Fax:636-939-9208
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2015021007208000000X
MO34580208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics