Active NPI
Elise Weinrich Geary, MD
- Dermatology Physician
- Vero Beach, FL
National Provider Identifier
1255302527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 26404
- Practice address
- 1955 22ND Ave
Vero Beach Dermatology
Vero Beach, FL 32960-3083 - Phone
- (772) 299-0085
- Fax
- (772) 978-4193
- NPI assigned
- Jan 27, 2006
- Last updated
- Oct 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 26404 | NC | |
| Dermatology Physician | 207N00000X | 26404 | FL | Primary |
Addresses
Primary practice location
1955 22ND Ave
Vero Beach Dermatology
Vero Beach, FL 32960-3083
Mailing address
1955 22ND Ave
Vero Beach Dermatology
Vero Beach, FL 32960-3083
Phone (772) 299-0085
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042W | Other | NC | BCBS OF NORTH CAROLINA |
| 02001260 | Other | NC | UNITEDHEALTH CARE |
| 54573 | Other | NC | MEDCOST |
| 8986324 | Medicaid | NC |
Other names 1
- Ann Elise Weinrich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26404 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1255302527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 22ND AVE",
"address_2": "VERO BEACH DERMATOLOGY",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603083",
"telephone_number": "772-299-0085",
"fax_number": "772-978-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 22ND AVE",
"address_2": "VERO BEACH DERMATOLOGY",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603083",
"telephone_number": "772-299-0085",
"fax_number": "772-978-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARY",
"first_name": "ELISE",
"middle_name": "WEINRICH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "26404",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "26404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NORTH CAROLINA",
"identifier": "1042W",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTH CARE",
"identifier": "02001260",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "54573",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8986324",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "WEINRICH",
"middle_name": "ELISE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.