Geoffrey W Shreck, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1278 Issued in NH

Practice address

1 Hampton Rd
Suite 201
Exeter, NH 03833-4848

Phone

(603) 778-0708

Fax

(603) 775-7177

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1235197153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD",
            "address_2": "SUITE 201",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334848",
            "telephone_number": "603-778-0708",
            "fax_number": "603-775-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD",
            "address_2": "SUITE 201",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334848",
            "telephone_number": "603-778-0708",
            "fax_number": "603-775-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRECK",
        "first_name": "GEOFFREY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "158549",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Garfield Shactman, PA-C
• Julie Shaheen, DPM
• Mohmedshad Shaikh, PHARMD
• Tyler Mae Shepherd, OT
• Thomas M Sherman, MD
• William R Siegart, DO
• Joshua A Siegel, M.D.
• Theresa Simkevich
• Holly Simmons, CRNA
• Debra Rachel Simon, MD

• Internal Medicine Physician in Exeter, NH
• Providers in Exeter, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.