Active NPI
Richard M Georgeoff, D.P.M.
- Podiatrist
- Powell, OH
National Provider Identifier
1275549404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36. 002395
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665721 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 3470 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36. 002395 | OH | MD | Podiatrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.