Jeffrey F Gephart, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

4301038795 Issued in MI

Practice address

1414 W Fair Ave
Ste 111
Marquette, MI 49855-2675

Phone

(906) 225-7601

Fax

(906) 225-7453

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marquette General Hospital, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marquette, MI
  • NPI 1205903051
  NPD (past)
• Marquette General Hospital, Inc.

  • Infectious Disease Physician
  • Marquette, MI
  • NPI 1215994454
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1457345126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 DEPT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601220021",
            "telephone_number": "906-225-7601",
            "fax_number": "906-225-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "STE 111",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-7601",
            "fax_number": "906-225-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEPHART",
        "first_name": "JEFFREY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301038795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110107125",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "JG038795",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3190947",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "JG038795",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Garwood, M.A. CCC-SLP
• Gastroenterology Specialists of Marquette, PLLC
• Mark S Geissler, M.D.
• Nelson Eric Gencheff, DO
• George Bonefeld PLLC
• Cassandra Gertjejansen
• Kari Getschow
• Treven Gezella
• Greg J Ghiardi, M.D.
• Jackie Ann-Mummert Gilbert, M.S.

• Infectious Disease Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.