Active NPI
George F Geibel, MD
- Family Medicine Physician
- Lunenburg, MA
National Provider Identifier
1851380059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44624
- Practice address
- 697 Main Street
Lunenburg, MA 01462 - Phone
- (978) 582-4587
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44624 | MA | Primary |
Addresses
Primary practice location
697 Main Street
Lunenburg, MA 01462
Mailing address
200 Groton Road
Nashoba Valley Healthcare Group
Ayer, MA 01432
Phone (978) 784-9000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SX1740 | Other | MA | PTAN |
| SX1727 | Other | MA | PTAN 41 |
| 2071495 | Medicaid | MA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44624 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashoba Valley Healthcare Group Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Ayer, MA
- NPI 1174513071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1851380059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GROTON ROAD",
"address_2": "NASHOBA VALLEY HEALTHCARE GROUP",
"city": "AYER",
"state": "MA",
"postal_code": "01432",
"telephone_number": "978-784-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 MAIN STREET",
"city": "LUNENBURG",
"state": "MA",
"postal_code": "01462",
"telephone_number": "978-582-4587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIBEL",
"first_name": "GEORGE",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "44624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "SX1740",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN 41",
"identifier": "SX1727",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2071495",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lunenburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.