Individual provider Active NPI

Richard M Georgeoff, D.P.M.

  • Podiatrist
  • Powell, OH
National Provider Identifier
1275549404
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36. 002395 Issued in OH
Practice address
386 Shelby Ave W
Powell, OH 43065-8637
Phone
(614) 370-6960
Fax
(614) 766-6960
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36. 002395 OH Primary

Addresses

Primary practice location

386 Shelby Ave W
Powell, OH 43065-8637

Mailing address

386 Shelby Ave W
Powell, OH 43065-8637
Phone (614) 370-6960

Other identifiers 1

IdentifierTypeStateIssuer
0665721MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000373 OH Practitioner - Podiatry 3375705635 Practice locations: Kenton, OH; Lakeview, OH; Powell, OH; Reynoldsburg, OH; Sabina, OH; Springfield, OH; Urbana, OH; Washington Court House, OH…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2225 Taylor Park Dr
Reynoldsburg, OH 43068-8039
Phone (614) 759-0023

4303 Trueman Blvd
Hilliard, OH 43026-2631
Phone (614) 761-8496

47 E William St
Delaware, OH 43015-2394
Phone (740) 362-9641

6401 Winchester Blvd
Canal Winchester, OH 43110-2057
Phone (614) 829-6388

906 Scioto St
Urbana, OH 43078-2226
Phone (937) 653-5432

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36. 002395OHMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1275549404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 SHELBY AVE W",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658637",
            "telephone_number": "614-370-6960",
            "fax_number": "614-766-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 SHELBY AVE W",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658637",
            "telephone_number": "614-370-6960",
            "fax_number": "614-766-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGEOFF",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36. 002395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.