Organization Active NPI

Cornelius J. McGeehan D.C., Inc.

  • Preferred Provider Organization
  • Tarpon Springs, FL
National Provider Identifier
1104174432
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
CH1619 Issued in FL
Legal business name
CORNELIUS J. MCGEEHAN D.C., INC.
Practice address
23 E Tarpon Ave
Tarpon Springs, FL 34689-3449
Phone
(727) 937-4223
Fax
(727) 937-4224
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Cornelius J McGeehan, D.C.NPI 1376529800
Title
President
Phone
(727) 937-4223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X CH1619 FL Primary

Addresses

Primary practice location

23 E Tarpon Ave
Tarpon Springs, FL 34689-3449

Mailing address

4630 Darlington Rd
Holiday, FL 34690-3906
Phone (727) 937-4223

Other identifiers 1

IdentifierTypeStateIssuer
3800032 00MedicaidFL

Other names 1

  • Cornelius J. McGeehan D.C., Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

23 E Tarpon Ave
Tarpon Springs, FL 34689
Phone (727) 939-5870

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1104174432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 DARLINGTON RD",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346903906",
            "telephone_number": "727-937-4223",
            "fax_number": "727-937-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E TARPON AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893449",
            "telephone_number": "727-937-4223",
            "fax_number": "727-937-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIUS J. MCGEEHAN D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "MCGEEHAN",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-937-4223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "CH1619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3800032 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornelius J. McGeehan D.C., Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.