Individual provider Active NPI

Dennis Edward McGeath, M.D.

  • Pediatric Adolescent Medicine Physician
  • Petoskey, MI
National Provider Identifier
1295826006
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
4301041337 Issued in MI
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

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1998799MedicaidMI

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.

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

LicenseStateTypeSpecialty
4301041337MIMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.