Active NPI
John Geselman, MD
- Family Medicine Physician
- Joint Base Elmendorf-Richardson, AK
National Provider Identifier
1699266874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32271
- Practice address
- Fort Richardson Troop Medical Clinic 786 D Street
Joint Base Elmendorf Richardson, AK 99505 - Phone
- (907) 384-0600
- NPI assigned
- May 23, 2018
- Last updated
- Jan 10, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32271 | NE | Primary |
Addresses
Primary practice location
Fort Richardson Troop Medical Clinic 786 D Street
Joint Base Elmendorf Richardson, AK 99505
Mailing address
1060 Gaffney Rd # 7440USA
Fort Wainwright, AK 99703-5002
Phone (907) 361-5603
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32271 | NE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1699266874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD # 7440USA",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "997035002",
"telephone_number": "907-361-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FORT RICHARDSON TROOP MEDICAL CLINIC 786 D STREET",
"city": "JOINT BASE ELMENDORF RICHARDSON",
"state": "AK",
"postal_code": "99505",
"telephone_number": "907-384-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GESELMAN",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-23",
"last_updated": "2022-01-10",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "32271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joint Base Elmendorf-Richardson, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.