Timothy Gerard Geen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

173468 Issued in NY

Practice address

21 Willow Pond Way
Ste 200
Penfield, NY 14526-2687

Phone

(585) 377-0840

Fax

(585) 377-9715

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144257908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WILLOW POND WAY",
            "address_2": "STE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262687",
            "telephone_number": "585-377-0840",
            "fax_number": "585-377-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WILLOW POND WAY",
            "address_2": "STE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262687",
            "telephone_number": "585-377-0840",
            "fax_number": "585-377-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEEN",
        "first_name": "TIMOTHY",
        "middle_name": "GERARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "173468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01684899",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4249579",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101223DL",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Galvano
• Mary Veronica Gambee, SLP
• Ashley Ruth Gavette, LMSW
• Kenya Joniece Gavin
• Jennifer Sue Gayle
• Krista Gehm, PT, DPT
• Genesee Valley Obstetrics & Gynecology, P.C.
• Genesee Vascular Laboratory, Inc.
• Richard J Gensheimer, DPM
• Derrick Alexis German, MD

• Pediatrics Physician in Penfield, NY
• Providers in Penfield, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.