Jack Geoula, M,D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A94898 Issued in CA

Practice address

2700 Dolbeer St
St Joseph Hospital - Eureka
Eureka, CA 95501-4736

Phone

(707) 845-8121

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Perelman School of Med at the University of Pennsylvania, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superior Hospitalist Medical Group IncGroup PAC ID 1456650928, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2269/brand/2/csg/22/fhir/r4

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.

• Superior Hospitalist Medical Group Inc

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1780047712
  Medicare reassignment Care Compare group NPD
• Beverlymedical Sleep Center & Neurodiagnostic, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Santa Monica, CA
  • NPI 1245463546
  NPD (past) Authorized official
• Gold Country Emergency Physicians Medical Group Inc

  • Hospitalist Physician
  • Turlock, CA
  • NPI 1174825947
  NPD (past)
• Petrel Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • Marina del Rey, CA
  • NPI 1154734663
  NPD (past)
• University Healthcare System, LC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1942256383
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation

  dba Martin Luther King, Jr. Community Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114367497
  Care Compare affiliation

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821006263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 DOLBEER ST",
            "address_2": "ST JOSEPH HOSPITAL - EUREKA",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014736",
            "telephone_number": "707-845-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEOULA",
        "first_name": "JACK",
        "credential": "M,D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A94898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramir Geluz, MD
• Maureen Fitzgerald Genge, CASEMANAGER
• Denise Elizabeth George
• Donna L George, L.P.T.
• James George
• Eric Gerdes, D.O.
• Krystal C German, RN
• Nicole German
• Andi Gernaey
• Darren Jerome Ghisetti

• Emergency Medicine Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.