Active NPI
John H. Geovjian, D.P.M.
- Podiatrist
- Glenolden, PA
National Provider Identifier
1285664516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC003101-L
- Practice address
- 600 Magnolia Ave
Glenolden, PA 19036-1004 - Phone
- (610) 622-2818
- Fax
- (610) 622-2360
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003101-L | PA | Primary |
Addresses
Primary practice location
600 Magnolia Ave
Glenolden, PA 19036-1004
Mailing address
600 Magnolia Ave
Glenolden, PA 19036-1004
Phone (610) 622-2818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20111208000387 | PA | Practitioner - Podiatry | 4284809914 | Practice locations: Glenolden, PA; Prospect Park, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
600 Magnolia Ave
Glenolden, PA 19036-1004
Phone (610) 622-2818
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 419 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC003101-L | PA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285664516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MAGNOLIA AVE",
"city": "GLENOLDEN",
"state": "PA",
"postal_code": "190361004",
"telephone_number": "610-622-2818",
"fax_number": "610-622-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MAGNOLIA AVE",
"city": "GLENOLDEN",
"state": "PA",
"postal_code": "190361004",
"telephone_number": "610-622-2818",
"fax_number": "610-622-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEOVJIAN",
"first_name": "JOHN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003101-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenolden, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.