Thomas Kent Geraci, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD10368 Issued in OR

Practice address

1219 SW 4TH Ave
Suite 1
Ontario, OR 97914-4500

Phone

(541) 889-2668

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1740394378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SW 4TH AVE",
            "address_2": "SUITE 1",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144500",
            "telephone_number": "541-889-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SW 4TH AVE",
            "address_2": "SUITE 1",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979144500",
            "telephone_number": "541-889-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERACI",
        "first_name": "THOMAS",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD10368",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G87002",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2005-0001",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01055830A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Galan, BA
• Jamie Lorraine Galligar-Wheeler
• John Gambino, MD
• Terrance Allen Gamel
• Genoa Healthcare LLC
• Paul C Gering Jr., MD
• Bryan Jordon Gibb, PHARMD
• Jessica L Gibbons, DO
• Samantha Sue Gibson
• Katherine Elizabeth Gill, PA-C

• Pediatrics Physician in Ontario, OR
• Providers in Ontario, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.