Active NPI
Francis J Geronimo, CRNA
- Certified Registered Nurse Anesthetist
- Laurium, MI
National Provider Identifier
1265677389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704308312
- Practice address
- 205 Osceola St
Laurium, MI 49913-2134 - Phone
- (906) 337-6500
- Fax
- (906) 337-6582
- NPI assigned
- Dec 3, 2008
- Last updated
- Oct 21, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704308312 | MI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9274894 | FL |
Addresses
Primary practice location
205 Osceola St
Laurium, MI 49913-2134
Mailing address
205 Osceola St
Laurium, MI 49913-2134
Phone (866) 920-0801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704308312 | Other | MI | STATE LICENSE |
| ARNP9274894 | Other | FL | FL LICENSE |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Coast Anesthesia Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1669425641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1265677389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 OSCEOLA ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132134",
"telephone_number": "866-920-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 OSCEOLA ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132134",
"telephone_number": "906-337-6500",
"fax_number": "906-337-6582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERONIMO",
"first_name": "FRANCIS",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-03",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704308312",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9274894",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4704308312",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "ARNP9274894",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurium, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.