Healthcare Provider Details

I. General information

NPI: 1124039953
Provider Name (Legal Business Name): DEBORAH L. GEVER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 CUMBERLAND AVE
MIDDLESBORO KY
40965-2614
US

IV. Provider business mailing address

223 N 1ST AVE SUITE 201
ARCADIA CA
91006-7089
US

V. Phone/Fax

Practice location:
  • Phone: 606-242-1100
  • Fax:
Mailing address:
  • Phone: 626-821-1411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01079648A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA49737
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number51941
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35133417
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: