Active NPIIndividual provider

Mr. Matthew D Gerken, ATC

Specialist/Technologist, Athletic Trainer in Gorham, Maine

NPI Number1073549523
Practice location
37 College Ave, Gorham, ME 04038-1032
Fax
207-780-5354
Last updated
May 15, 2013

Matthew D Gerken is a Specialist/Technologist, Athletic Trainer based in Gorham, ME. Matthew D Gerken practices in Gorham, ME and has the professional credentials of ATC. The NPI Number for Matthew D Gerken is 1073549523 and holds a License No. AT137 (ME). The current practice location address for Matthew D Gerken is 37 College Ave, Gorham, ME 04038-1032 and can be reached out via phone at 207-780-5140 and via fax at 207-780-5354.

Provider Profile Details

NPI Number
1073549523
Provider Name
Matthew D Gerken
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
37 College Ave, Gorham, ME 04038-1032
Phone Number
207-780-5140
Fax Number
207-780-5354
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2006
Last Update Date
May 15, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 College Ave
Gorham, ME 04038-1032
City
Gorham
State
Maine
Zip
04038-1032
Phone Number
207-780-5140
Fax Number
207-780-5354
Gorham, ME 04038Get directions →

Provider Business Mailing Address Details

Address
37 College Ave
Gorham, ME 04038-1032
City
Gorham
State
ME
Zip
04038-1032
Phone Number
207-780-5140
Fax Number
207-780-5354

License Information

License Number
AT137
License State
ME
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Matthew D Gerken, ATC?

The NPI number of Mr. Matthew D Gerken, ATC is 1073549523. It was assigned on June 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew D Gerken, ATC?

Mr. Matthew D Gerken, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT137.

Where does Mr. Matthew D Gerken, ATC practice?

The practice location is 37 College Ave, Gorham, ME 04038-1032. The office can be reached at 207-780-5140 (phone) or 207-780-5354 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073549523 directly on the NPPES registry website.

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