Active NPI
Geoffrey R Herald, M.D.
- Surgery Physician
- Beaver, PA
National Provider Identifier
1528054558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD026909E
- Practice address
- 274 3Rd St
Beaver, PA 15009-2333 - Phone
- (724) 775-2112
- Fax
- (724) 775-2131
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD026909E | PA | Primary |
Addresses
Primary practice location
274 3Rd St
Beaver, PA 15009-2333
Mailing address
274 3Rd St
Beaver, PA 15009-2333
Phone (724) 775-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010040690004 | Medicaid | PA |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1528054558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 3RD ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092333",
"telephone_number": "724-775-2112",
"fax_number": "724-775-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 3RD ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092333",
"telephone_number": "724-775-2112",
"fax_number": "724-775-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERALD",
"first_name": "GEOFFREY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD026909E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010040690004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.