Mark J. Geller, MD, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MARK J. GELLER, MD, LLC

Doing business as

mark j. geller, md, llc

Practice address

121 Freeport Rd Ste 200
Blawnox, PA 15238-3411

Phone

(412) 639-1770

Fax

(412) 487-1913

NPI assigned

Mar 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark J Geller, MDNPI 1396709069

Title

Owner

Phone

(412) 639-1770

Specialties & licenses 1

Addresses

Other names 1

• mark j. geller, md, llc Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19104/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark J Geller, MD

  • Cardiovascular Disease Physician
  • Blawnox, PA
  • NPI 1396709069
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1023576436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FREEPORT RD STE 200",
            "city": "BLAWNOX",
            "state": "PA",
            "postal_code": "152383411",
            "telephone_number": "412-639-1770",
            "fax_number": "412-487-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FREEPORT RD STE 200",
            "city": "BLAWNOX",
            "state": "PA",
            "postal_code": "152383411",
            "telephone_number": "412-639-1770",
            "fax_number": "412-487-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J. GELLER, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-639-1770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mark j. geller, md, llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Q Pharma Inc
• Asha Raman, MD

• Cardiovascular Disease Physician in Blawnox, PA
• Providers in Blawnox, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.