Pamela A Georgeson, DO

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

5101008579 Issued in MI

Practice address

30170 23 Mile Rd
Chesterfield, MI 48047-2190

Phone

(586) 949-5900

Fax

(586) 949-5922

NPI assigned

Jun 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Midwestern University, Chicago College of Osteopathic Med, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenwood Allergy and Asthma Center, P.C.Group PAC ID 9931202298, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pgeorgeson63262@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kenwood Allergy & Asthma Center, P.C.

  • Medical Specialty Clinic/Center
  • Chesterfield, MI
  • NPI 1508850777
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1619972486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30170 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472190",
            "telephone_number": "586-949-5900",
            "fax_number": "586-949-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30170 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472190",
            "telephone_number": "586-949-5900",
            "fax_number": "586-949-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGESON",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "5101008579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4326232",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5500466",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C2983",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM OTHER IDENTIFIER",
            "identifier": "PG008579",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Garling, OTRL
• Joslyn Leah Garza, PMHNP-BC
• Madison Geier
• Genesys Home Care, Inc.
• Caitlyn Gentner, NP
• Nashwa Gerges-Henan, PHARMACIST
• Mary A Gerlach, CNS
• German Treyger DO PLLC
• Joshua Ghiringhelli, PHARMD
• Rodkita Gholston

• Allergy & Immunology Physician in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.