Active NPI
Geoffrey R. Cousins, MD, PLLC
- Specialist
- Charleston, WV
National Provider Identifier
1093988545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 21957
- Legal business name
- GEOFFREY R. COUSINS, MD, PLLC
- Practice address
- 2345 Chesterfield Ave
Suite 304
Charleston, WV 25304-1062 - Phone
- (304) 720-2244
- Fax
- (304) 720-2245
- NPI assigned
- Apr 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geoffrey R Cousins, MD
- Title
- Owner
- Phone
- (304) 720-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21957 | WV | Primary |
Addresses
Primary practice location
2345 Chesterfield Ave
Suite 304
Charleston, WV 25304-1062
Mailing address
PO Box 4695
Charleston, WV 25364-4695
Phone (304) 720-2244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810011619 | Medicaid | WV | |
| 002022475 | Other | WV | BC/BS |
National Provider Directory
National Provider DirectoryLocations
2345 Chesterfield Ave
Ste 304
Charleston, WV 25304
Phone (304) 352-2112
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1588652192
-
- Physician Assistant
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- NPI 1750363685
-
- Surgical Physician Assistant
- Spartanburg, SC
- NPI 1356537161
-
- Physician Assistant
- Maitland, FL
- NPI 1245297340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220313600000",
"number": "1093988545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4695",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253644695",
"telephone_number": "304-720-2244",
"fax_number": "304-720-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 CHESTERFIELD AVE",
"address_2": "SUITE 304",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041062",
"telephone_number": "304-720-2244",
"fax_number": "304-720-2245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEOFFREY R. COUSINS, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-04",
"last_updated": "2008-09-02",
"status": "A",
"authorized_official_last_name": "COUSINS",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-720-2244",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WV",
"license": "21957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810011619",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "002022475",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.