NPIMap

Organization Active NPI

Geskin Medical LLC

  • Cardiovascular Disease Physician
  • Jefferson Hills, PA
National Provider Identifier
1447812607
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
GESKIN MEDICAL LLC
Practice address
1633 Route 51 Ste 105
Jefferson Hills, PA 15025-3652
Phone
(412) 775-2019
Fax
(412) 775-2243
NPI assigned
Jul 8, 2019
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
David Ryckman
Title
Office Manager
Phone
(724) 289-6652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1633 Route 51 Ste 105
Jefferson Hills, PA 15025-3652

Mailing address

1633 Route 51 Ste 105
Jefferson Hills, PA 15025-3652
Phone (412) 775-2019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210719000151 PA Part B Supplier - Clinic/Group Practice 4981006640 Receives reassigned benefits from 26 practitioners
Practice locations: Jefferson Hills, PA

National Provider Directory

National Provider Directory

Locations

1633 Route 51
Ste 105
Jefferson Hls, PA 15025
Phone (412) 775-2019

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1447812607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 ROUTE 51 STE 105",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253652",
            "telephone_number": "412-775-2019",
            "fax_number": "412-775-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 ROUTE 51 STE 105",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253652",
            "telephone_number": "412-775-2019",
            "fax_number": "412-775-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESKIN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "RYCKMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-289-6652"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.