Active NPI
Dennis Edward McGeath, M.D.
- Pediatric Adolescent Medicine Physician
- Petoskey, MI
National Provider Identifier
1295826006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 4301041337
- Practice address
- 345 N Division Rd
Suite D
Petoskey, MI 49770-9416 - Phone
- (231) 347-8382
- Fax
- (231) 347-6628
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 4301041337 | MI | Primary |
Addresses
Primary practice location
345 N Division Rd
Suite D
Petoskey, MI 49770-9416
Mailing address
345 N Division Rd
Suite D
Petoskey, MI 49770-9416
Phone (231) 347-8382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1998799 | Medicaid | MI |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Petoskey, MI
- NPI 1184721318
Adolescent Medicine
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041337 | MI | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis E McGeath | Adolescent Medicine | Past | Accepting new patients |
| Petoskey Pediatrics, PC | Pediatrics | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1295826006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 N DIVISION RD",
"address_2": "SUITE D",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709416",
"telephone_number": "231-347-8382",
"fax_number": "231-347-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N DIVISION RD",
"address_2": "SUITE D",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709416",
"telephone_number": "231-347-8382",
"fax_number": "231-347-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEATH",
"first_name": "DENNIS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MI",
"license": "4301041337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1998799",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.