Active NPI
Geoffrey E Herter, MD
- Urology Physician
- Middletown, CT
National Provider Identifier
1598851651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 022275
- Practice address
- 520 Saybrook Road
Suite 100B
Middletown, CT 06457 - Phone
- (860) 347-8850
- Fax
- (860) 347-6774
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 022275 | CT | Primary |
Addresses
Primary practice location
520 Saybrook Road
Suite 100B
Middletown, CT 06457
Mailing address
520 Saybrook Road
Suite 100B
Middletown, CT 06457
Phone (860) 347-8850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122751 | Medicaid | CT |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Middlesex Hospital Homecare and Hospice
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598851651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SAYBROOK ROAD",
"address_2": "SUITE 100B",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "06457",
"telephone_number": "860-347-8850",
"fax_number": "860-347-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SAYBROOK ROAD",
"address_2": "SUITE 100B",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "06457",
"telephone_number": "860-347-8850",
"fax_number": "860-347-6774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTER",
"first_name": "GEOFFREY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "022275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122751",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
- Heritage Health & Home Care LLC (Great Care at Home)
- Heritage Health & Home Care LLC (Great Care at Home)
- Virena C Hermann, APRN
- Harry Hernandez, MSW
- Carrie L Herron, P.A.
- Alfred K Hicks Jr., D.O.
- Donald J Hiebel, PHD
- Highview Health Care Center Inc.
- Jennifer Darcy Hill, RN, MSN, CPNP
- Latoya Viola Hinds, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.