Geralyn Doskoch, MD
Individual provider Active NPI Family Medicine Physician · Charlevoix, MI
NPI 1710079256 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1710079256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301065473 (MI)
- Practice address
- 14705 W Upright St
Charlevoix, MI 49720-1949 - Phone
- (231) 547-6520
- Fax
- (231) 547-5404
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- geralyndoskoch@cah.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 4301065473 | MI | |
| Family Medicine Physician | 207Q00000X | 4301065473 | MI | Yes |
Addresses
Primary practice location
14705 W Upright St
Charlevoix, MI 49720-1949
Mailing address
14705 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-6519
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381459366062 | Other | MI | COMMUNITY CHOICE PIN# |
| 4301065473 | Other | MI | BC LICENSE NUMBER |
| GD065473 | Other | MI | BLUE SHIELD LICENSE NUM |
| 4847260 | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GERALYNDOSKOCH@cah.cernerdirect.com |
Other providers in Charlevoix, MI
- Thomas Bruce De Korte
- Michael Hubert Dennis
- Stephen Frederick Dewey
- Michael Di Martino
- Darcie Jean Dohnal
- Dr. Thomas J Schaperkotter
- Wyatt Parker Drost
- Julie Ann Dugan
- Karyn Lynn Dunlap
- Benjamin Joseph Edwards
All providers in Charlevoix, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.