Individual provider Active NPI

Peter Mark Geller, L.AC., R.AC.

  • Acupuncturist
  • Novelty, OH
National Provider Identifier
1770773129
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
91 Issued in OH
Practice address
8398 Kinsman Rd
Novelty, OH 44072-9577
Phone
(440) 338-6344
Fax
(440) 338-6355
NPI assigned
Jul 31, 2007
Last updated
Jul 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 91 OH Primary

Addresses

Primary practice location

8398 Kinsman Rd
Novelty, OH 44072-9577

Mailing address

3686 Lynnfield Rd
Down
Shaker Heights, OH 44122-5112
Phone (631) 275-2716

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

State licenses

LicenseStateTypeSpecialty
91OHMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hope and Healing, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1770773129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 LYNNFIELD RD",
            "address_2": "DOWN",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225112",
            "telephone_number": "631-275-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8398 KINSMAN RD",
            "city": "NOVELTY",
            "state": "OH",
            "postal_code": "440729577",
            "telephone_number": "440-338-6344",
            "fax_number": "440-338-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "PETER",
        "middle_name": "MARK",
        "credential": "L.AC., R.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "91",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novelty, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.