Organization Active NPI

Barrett & Geiss Dermatology Inc

  • Specialist
  • Granville, OH
National Provider Identifier
1720204514
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34005696G Issued in OH
Legal business name
BARRETT & GEISS DERMATOLOGY INC
Practice address
2000 Newark Granville Rd Ste 202
Granville, OH 43023-9135
Phone
(740) 587-3376
Fax
(740) 587-1424
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. David F Geiss, D.O.
Title
Physician
Phone
(740) 344-1415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 34005696G OH Primary

Addresses

Primary practice location

2000 Newark Granville Rd Ste 202
Granville, OH 43023-9135

Mailing address

112 N Ewing St
Lancaster, OH 43130-3307
Phone (740) 687-1177

Other identifiers 1

IdentifierTypeStateIssuer
0190289MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1720204514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303307",
            "telephone_number": "740-687-1177",
            "fax_number": "740-344-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEWARK GRANVILLE RD STE 202",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239135",
            "telephone_number": "740-587-3376",
            "fax_number": "740-587-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT & GEISS DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "GEISS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-344-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "34005696G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.