Individual provider Active NPI

John A Geary, PA

  • Physician Assistant
  • Milton, MA
National Provider Identifier
1609861194
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
648 Issued in ME
Practice address
100 Highland St
Ste 125
Milton, MA 02186-3881
Phone
(617) 696-4600
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 648 ME Primary

Addresses

Primary practice location

100 Highland St
Ste 125
Milton, MA 02186-3881

Mailing address

92 Highland St
Attn K Boyer Cpa
Milton, MA 02186-3800
Phone (617) 696-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000101 MA Practitioner - Physician Assistant 6305834672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Highland St
Suite 123
Milton, MA 02186-3881
Phone (617) 698-8585

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
648MAMDAcupuncturist
648MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Home Health Care Services LLC Current Accepting new patients
Community Physicians Associates, Inc. CurrentSince Aug 8, 2013 Accepting new patients
Steward Medical Group, Inc. Past Accepting new patients

Locations

100 Highland St
Ste 123
Milton, MA 02186
Phone (617) 696-3411

92 Highland St
#K
Milton, MA 02186

100 Highland St
Ste 125
Milton, MA 02186
Phone (617) 698-8585

Interoperability endpoints

  • Direct secure messaging: jgeary288366@direct.bilh.masshiway.net

Organizations & group practices 4

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 1

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1609861194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HIGHLAND ST",
            "address_2": "ATTN K BOYER CPA",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863800",
            "telephone_number": "617-696-4600",
            "fax_number": "781-986-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "STE 125",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.