Pamela M Geppert DO PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101007684 Issued in MI

Legal business name

PAMELA M GEPPERT DO PLLC

Practice address

9333 N Haggerty Rd
Plymouth, MI 48170-4622

Phone

(734) 414-7231

Fax

(734) 414-7232

NPI assigned

Jun 14, 2006

Last updated

Mar 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pamela M Geppert, DO

Title

Owner/Physician

Phone

(734) 414-7231

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1710920996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704622",
            "telephone_number": "734-414-7231",
            "fax_number": "734-414-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704622",
            "telephone_number": "734-414-7231",
            "fax_number": "734-414-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA M GEPPERT DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "GEPPERT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "734-414-7231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GRP",
            "identifier": "080H232150",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710920996",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "080H232150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelynn Pakkala
• Darin Pala
• Giuseppe Palazzolo
• Donna May Palma, LMSW
• Gracie Palmer
• Kinjallkumari Panchal
• Kelley Panoff
• Carli Paoletti
• Madelyn Paquette
• Stefanie Michelle Paquin, LLP, CAADC

• Family Medicine Physician in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.