MEDICARE: JAIME BLANK GERBER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD60027256	WA
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	277564	MA
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician	25MA10959100	NJ
4	207QG0300X	Geriatric Medicine (Family Medicine) Physician	235045-1	NY
5	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD22652	ME
6	207QG0300X	Geriatric Medicine (Family Medicine) Physician	0101270908	VA
7	207QG0300X	Geriatric Medicine (Family Medicine) Physician	2020-03550	NC
8	207QG0300X	Geriatric Medicine (Family Medicine) Physician	ME159895	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0239193	OTHER	WA	L&I
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457471443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME BLANK GERBER M.D.

Provider Business Mailing Address
First Line	:	12345 LAKE CITY WAY NE # 3127
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5401
Country	:	US
Telephone Number	:	425-333-8849
Fax Number	:	615-544-1280

Provider Business Practice Location Address
First Line	:	2217 PARADISE RD STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2514
Country	:	US
Telephone Number	:	888-224-0804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	02/09/2026

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Directions to “ JAIME BLANK GERBER M.D.” Practice Location

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