Individual provider Active NPI

Jessica Ashely Geida, D.O.

  • Obstetrics & Gynecology Physician
  • Media, PA
National Provider Identifier
1134573074
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS020272 Issued in PA
Practice address
1098 W Baltimore Pike
Suite 3106 RHC 3
Media, PA 19063-5139
Phone
(610) 891-6240
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 OS020272 PA Primary

Addresses

Primary practice location

1098 W Baltimore Pike
Suite 3106 RHC 3
Media, PA 19063-5139

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632

Other practice location 1

255 W Lancaster Ave Ste 227
Paoli, PA 19301-1765
Phone (610) 889-9550

Other practice location 2

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-8000

Other identifiers 3

IdentifierTypeStateIssuer
103738530MedicaidPA
004367073OtherPAHIGHMARK
30898016OtherPAKEYSTONE FIRST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.geida@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200320001673 PA Practitioner - Obstetrics/Gynecology 2062840283 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020272PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Apr 1, 2020 Accepting new patients
Womens Health Care Group of Pennsylvania LLC Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
Main Line Healthcare Obstetrics & Gynecology CurrentSince Nov 16, 2024 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology PastSince Aug 29, 2021 Accepting new patients
Professional Anesthesia Services of North America P.C. PastSince May 1, 2020 Accepting new patients
Main Line Healthcare PastSince Nov 16, 2024 Accepting new patients
Riddle Memorial Hospital Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

599 Arcola Rd
Ste 105
Collegeville, PA 19426
Phone (610) 525-7800

154 Exton Square Mall
Ste 105
Exton, PA 19341

1020 Baltimore Pike
Ste 310
Glen Mills, PA 19342
Phone (484) 227-7532

120 Valley Green Ln
Ste 600B
Kng of Prussa, PA 19406

1098 W Baltimore Pike
Ste 3106
Media, PA 19063
Phone (610) 891-6240

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

255 W Lancaster Ave
Ste 227
Paoli, PA 19301
Phone (610) 889-9550

100 E Lancaster Ave
Ste 316
Wynnewood, PA 19096
Phone (610) 642-0100

Interoperability endpoints

  • Direct secure messaging: jessica.geida@axia.eclinicaldirectplus.com

Organizations & group practices 7

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1134573074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-337-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 W BALTIMORE PIKE",
            "address_2": "SUITE 3106 RHC 3",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635139",
            "telephone_number": "610-891-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Lancaster Ave Ste 227",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011765",
            "country_code": "US",
            "telephone_number": "610-889-9550",
            "fax_number": "610-296-8343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607059",
            "country_code": "US",
            "telephone_number": "856-641-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEIDA",
        "first_name": "JESSICA",
        "middle_name": "ASHELY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS020272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103738530",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "004367073",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE FIRST",
            "identifier": "30898016",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.geida@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "255 W Lancaster Ave Ste 227",
            "city": "Paoli",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193011765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.