Active NPI
Geneva General Hospital, Inc
- Emergency Medicine Physician
- Geneva, NY
National Provider Identifier
1487797080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- GENEVA GENERAL HOSPITAL, INC
- Practice address
- 196 North St
Geneva, NY 14456-1651 - Phone
- (315) 787-4150
- Fax
- (315) 787-4794
- NPI assigned
- Feb 14, 2007
- Organization subpart
- Yes
- Parent organization
- GENEVA GENERAL HOSPITAL, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela E Johnson
- Title
- Treasurer & Cfo
- Phone
- (315) 787-4030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
196 North St
Geneva, NY 14456-1651
Mailing address
196 North St
Geneva, NY 14456-1651
Phone (315) 787-4150
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00378712 | Medicaid | NY | |
| 12E | Other | NY | BLUE CROSS |
| 14003712E | Other | NY | BLUE CHOICE |
Other names 1
- GENEVA GENERAL HOSP ER PHYSICIANS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000307 | NY | Part B Supplier - Clinic/Group Practice | 7810809407 |
Receives reassigned benefits from 151 practitioners 3 other NPIs on this enrollment Practice locations: Geneva, NY; Waterloo, NY |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Geneva, NY
- NPI 1154464980
7810809407
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Geneva General Hospital
Practitioners & affiliated clinicians
Practitioners 171
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452556800000",
"number": "1487797080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 NORTH ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561651",
"telephone_number": "315-787-4150",
"fax_number": "315-787-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 NORTH ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561651",
"telephone_number": "315-787-4150",
"fax_number": "315-787-4794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENEVA GENERAL HOSPITAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENEVA GENERAL HOSPITAL, INC",
"enumeration_date": "2007-02-14",
"last_updated": "2016-01-12",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "TREASURER & CFO",
"authorized_official_telephone_number": "315-787-4030"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00378712",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "12E",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "14003712E",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GENEVA GENERAL HOSP ER PHYSICIANS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.