Vickie C Gerdon, PA-C
Physician Assistant, Medical in Southington, Connecticut
1134194798- Practice location
- 1131 West St, Southington, CT 06489-6006
- Phone
- 860-621-7682
- Fax
- —
- Last updated
- December 17, 2012
Vickie Christine Gerdon is a Physician Assistant, Medical based in Southington, CT. Vickie Christine Gerdon practices in Southington, CT and has the professional credentials of PA-C. The NPI Number for Vickie Christine Gerdon is 1134194798 and holds a License No. 000428 (CT). The current practice location address for Vickie Christine Gerdon is 1131 West St, Southington, CT 06489-6006 and can be reached out via phone at 860-621-7682.
Provider Profile Details
- NPI Number
- 1134194798
- Provider Name
- Vickie Christine Gerdon
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1131 West St, Southington, CT 06489-6006
- Phone Number
- 860-621-7682
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- -- Vickie Christine Gerdon, PA-C (Professional Name)
- Provider Enumeration Date
- February 17, 2006
- Last Update Date
- December 17, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1131 West St
Southington, CT 06489-6006 - City
- Southington
- State
- Connecticut
- Zip
- 06489-6006
- Phone Number
- 860-621-7682
Provider Business Mailing Address Details
- Address
- 1131 West St
Southington, CT 06489-6006 - City
- Southington
- State
- CT
- Zip
- 06489-6006
- Phone Number
- 860-621-7682
License Information
- License Number
- 000428
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Vickie C Gerdon, PA-C?
The NPI number of Vickie C Gerdon, PA-C is 1134194798. It was assigned on February 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Vickie C Gerdon, PA-C?
Vickie C Gerdon, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 000428.
Where does Vickie C Gerdon, PA-C practice?
The practice location is 1131 West St, Southington, CT 06489-6006. The office can be reached at 860-621-7682 (phone).
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 1134194798 directly on the NPPES registry website.