John W Geary IV, CSFA
Individual provider Active NPI Specialist · Taylorsville, KY
NPI 1154619401 · NPPES record last updated Apr 24, 2020
Key facts
- NPI
- 1154619401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 360 Deer Creek LN
Taylorsville, KY 40071-8271 - Phone
- (502) 821-2896
- Fax
- (502) 473-6399
- NPI assigned
- Jul 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical First Assisting LLC | Specialist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
360 Deer Creek LN
Taylorsville, KY 40071-8271
Mailing address
PO Box 489
Taylorsville, KY 40071-0489
Phone (502) 821-2896
Other providers in Taylorsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.