Active NPI
Cory Geoghegan, DO
- Anesthesiology Physician
- Bethesda, MD
National Provider Identifier
1255953030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0102206744
- Practice address
- 4494 North Palmer Road
Bethesda, MD 20889-5000 - Phone
- (301) 295-4455
- Fax
- (301) 295-5063
- NPI assigned
- May 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0102206744 | VA | Primary |
Addresses
Primary practice location
4494 North Palmer Road
Bethesda, MD 20889-5000
Mailing address
PSC 482 Box 1600
Fpo, AP 96362-0017
Phone (315) 646-7281
Other practice location 1
Naval Medical Center San Diego 38400 Bob Wilson Dr
San Diego, CA 92134-5000
Phone (619) 881-9169
Other practice location 2
PSC 482 Box 1600
Fpo, AP 96362
Phone (315) 646-7281
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206744 | VA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1255953030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 482 BOX 1600",
"city": "FPO",
"state": "AP",
"postal_code": "963620017",
"telephone_number": "315-646-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 NORTH PALMER ROAD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895000",
"telephone_number": "301-295-4455",
"fax_number": "301-295-5063"
}
],
"practiceLocations": [
{
"address_1": "Naval Medical Center San Diego 38400 Bob Wilson Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921345000",
"country_code": "US",
"telephone_number": "619-881-9169",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "PSC 482 Box 1600",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AP",
"postal_code": "96362",
"country_code": "US",
"telephone_number": "315-646-7281",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "GEOGHEGAN",
"first_name": "CORY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-14",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0102206744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.