Active NPI
Rebecca L Geffe, PA
- Physician Assistant
- Maumee, OH
National Provider Identifier
1376525485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50001236
- Practice address
- 5705 Monclova Rd
Maumee, OH 43537-1875 - Phone
- (419) 893-3321
- Fax
- (419) 897-1316
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50001236 | OH | Primary |
Addresses
Primary practice location
5705 Monclova Rd
Maumee, OH 43537-1875
Mailing address
5705 Monclova Rd
Maumee, OH 43537-1875
Phone (419) 893-3321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA34351 | Other | OH | MEDICARE |
| 34402722 | Other | OH | CERTIFICATION NUMBER |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50001236 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1376525485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 MONCLOVA RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371875",
"telephone_number": "419-893-3321",
"fax_number": "419-897-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 MONCLOVA RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371875",
"telephone_number": "419-893-3321",
"fax_number": "419-897-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEFFE",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50001236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "PA34351",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION NUMBER",
"identifier": "34402722",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.