NPIMap

Individual provider Active NPI

Geoffrey B Taylor, D.O.

  • Anesthesiology Physician
  • Ketchikan, AK
National Provider Identifier
1609087386
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MEDO7115 Issued in AK
Practice address
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone
(907) 228-8300
Fax
(907) 228-8332
NPI assigned
May 24, 2007
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R7692 IA
Anesthesiology Physician 207L00000X 12009 MT
Anesthesiology Physician 207L00000X MEDO7115 AK Primary

Addresses

Primary practice location

3100 Tongass Ave
Ketchikan, AK 99901-5746

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1412

Other practice location 1

401 15th Ave S Ste 109
Great Falls, MT 59405-4334
Phone (406) 727-6311

Other identifiers 1

IdentifierTypeStateIssuer
1609087386MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000196 MT Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3678626801 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan Health - WhitefishGroup PAC ID 9335033687, shared by 6 NPIs, 48 clinicians
Northern Rockies Anesthesia Consultants PLLCGroup PAC ID 8022900208, 33 clinicians

Practice addresses (Care Compare)

1600 Hospital Way
Whitefish, MT 59937-7849
Phone (406) 863-3500

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 752-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MEDO7115AKMDAnesthesiology Physician
R7692IAMDAnesthesiology Physician
12009MTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Whitefish CurrentSince Jun 1, 2021 Accepting new patients
Logan Health - Whitefish Current Accepting new patients
Northern Rockies Anesthesia Consultants PLLC Anesthesiology CurrentSince Nov 19, 2015 Accepting new patients
Anesthesia Associates of Great Falls LLC Anesthesiology Past Accepting new patients

Locations

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

106 Ridgewater Dr
Ste A
Polson, MT 59860
Phone (406) 883-3200

1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500

3004 Hospital Way
Whitefish, MT 59937
Phone (406) 862-4763

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1609087386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1412",
            "fax_number": "360-729-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015746",
            "telephone_number": "907-228-8300",
            "fax_number": "907-228-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 15th Ave S Ste 109",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594054334",
            "country_code": "US",
            "telephone_number": "406-727-6311",
            "fax_number": "406-727-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GEOFFREY",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "R7692",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "12009",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "MEDO7115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609087386",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

Verify at the official NPI Registry.