Geordee P Grable

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-023723 Issued in PA

Practice address

513 Towne PLZ
Tunkhannock, PA 18657-7910

Phone

(570) 836-6565

Fax

(570) 836-9648

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1386807345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 TOWNE PLZ",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577910",
            "telephone_number": "570-836-6565",
            "fax_number": "570-836-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 TOWNE PLZ",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577910",
            "telephone_number": "570-836-6565",
            "fax_number": "570-836-9648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "US Route 6",
            "address_purpose": "LOCATION",
            "city": "Meshoppen",
            "state": "PA",
            "postal_code": "186300218",
            "country_code": "US",
            "telephone_number": "570-833-5104",
            "fax_number": "570-833-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABLE",
        "first_name": "GEORDEE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-023723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnette Goffredo
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• Kara B Golden, MSW, LCSW
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• Brenda T Goodrich, DO
• Rebecca Grimaud-Chilson, M.D.
• Guthrie Clinc, LTD.
• Guthrie Health
• Guthrie Medical Group, P.C,
• Davis Charles Haire Sr., O.D.

• General Practice Dentistry in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.