Individual provider Active NPI

Diane M Georgeson, MD

  • Obstetrics & Gynecology Physician
  • Oneonta, NY
National Provider Identifier
1104945435
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
213504 Issued in NY
Practice address
1 Norton Ave
Oneonta, NY 13820-2629
Phone
(607) 431-5646
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 213504 NY Primary

Addresses

Primary practice location

1 Norton Ave
Oneonta, NY 13820-2629

Mailing address

1 Norton Ave
Oneonta, NY 13820-2629
Phone (607) 431-5646

Other identifiers 1

IdentifierTypeStateIssuer
33882AOtherNYMDCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929001149 NY Practitioner - Obstetrics/Gynecology 8022089531 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Planning of South Central New York, Inc. CurrentSince May 26, 2018 Accepting new patients
Diane M Georgeson MD PC Obstetrics & Gynecology PastSince May 1, 2003 Accepting new patients

Locations

26 Conkey Ave
Ste 208
Norwich, NY 13815
Phone (607) 334-6378

37 Dietz St
Ste 2
Oneonta, NY 13820
Phone (607) 432-2252

37 Dietz St
Oneonta, NY 13820
Phone (607) 432-2250

37 Pleasant St
Sidney, NY 13838
Phone (607) 432-2250

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6285/brand/1/csg/1/fhir/r4
  • Direct secure messaging: diane.georgeson.1@6285.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1104945435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTON AVE",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202629",
            "telephone_number": "607-431-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTON AVE",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202629",
            "telephone_number": "607-431-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGESON",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "213504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR",
            "identifier": "33882A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.