Active NPI
Pamela M Geppert, DO
- Family Medicine Physician
- Canton, MI
National Provider Identifier
1073591608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101007684
- Practice address
- 2050 N Haggerty Rd Ste 220
Canton, MI 48187-3796 - Phone
- (734) 446-9757
- Fax
- (734) 446-9750
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101007684 | MI | Primary |
Addresses
Primary practice location
2050 N Haggerty Rd Ste 220
Canton, MI 48187-3796
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pgeppert2381957@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Family Health Care, P.C. | Family Medicine | Past | Accepting new patients |
| Anchor Health Centers PA | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- pgeppert2381957@direct.beaumont.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Detroit, MI
- NPI 1437161437
-
- Family Medicine Physician
- Naples, FL
- NPI 1174571608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1073591608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 N HAGGERTY RD STE 220",
"city": "CANTON",
"state": "MI",
"postal_code": "481873796",
"telephone_number": "734-446-9757",
"fax_number": "734-446-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEPPERT",
"first_name": "PAMELA",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101007684",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgeppert2381957@direct.beaumont.edu",
"affiliation": "N",
"address_1": "2050 N Haggerty Rd Ste 220",
"city": "Canton",
"state": "MI",
"country_code": "US",
"postal_code": "481873796",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.